Wollongong Art Gallery Friends Application

Fill in your details below to apply to join or renew your Wollongong Art Gallery Friends membership.

* Mandatory fields

About You

First name *

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Last name *

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Phone *

Email *

Street address or PO Box *

Suburb *

State

Postcode *

There are a range of different membership types available.

Membership type	One year	Two years	Three years
Single	$40	$60	$90
Joint membership	$45	$75	$95
Family (2 adults and up to 3 children under 17 years)	$50	$70	$100
Student	$15	$25	$30
Senior	$15	$25	$30

This application is for:

Membership type

Number of years

Payment

Please make payment via Eletronic Funds Transfer using these details:

BSB: 802 124
Account number: 100 018 566
Reference: (your name as it appears on this form)

How did you hear about the Friends?