Membership Form

Name

First Name

Last Name

Email Address

Mobile Phone Number

Postal Address

Special skills or interests, other arts organisation memberships

Membership Type

Adult Membership - $35

Joint Membership - $60 (two people, same address)

Youth Membership - $30 (under 21)

Concession - $30 (health care or pension card)

PAYMENT OPTIONS: Once submitted an invoice with payment options will be emailed to you.

MEMBERSHIP ENQUIRES: offtheleashtheatre@gmail.com