NSWFMG Film Makers Group Membership Application

NSWFMG
Shed 1, Canal Road Film Center
1 Canal Road, Leichhardt, NSW, 2040

ABN: 69041261998

Ph: 02 9561 0069
Fax: 02 95610070
Email: info@nswfmg.com.au

* Required Fields

Personal Details:
* First Name: * Last Name:
  Company:
* Address:
  Home Number:   Mobile Number:
  Email:
  Job Title:   Years in the industry:

* Membership:

Individual Membership ($50.00 annual fee)

Business Membership ($100.00 annual fee)

Committee/ voluntary work:
Please tick if you are interested in working on any committees.

* Payment Options:

1. Direct Deposit:

Bank: National Australia Bank
BSB: 082 338
Account: 796967689
(Please put name in description)

2. Post cheque to:

NSWFMG
Shed 1, Canal Road Film Center
1 Canal Road, Leichhardt
NSW, 2040

  

3. Credit Card:

Please call NSWFMG office on 02 9561 0069 or email info@nswfmg.com.au

Permission for you name to be listed on the membership page.

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