membershipjo in us

at community arts network wa

w w w. c a n w a . c o m . a u

Become a member and support Western Australia’s peak body for community arts and community cultural development. CAN WA provides funding, resources, information and contacts to plug into your vision. We are an open, people based organisation, connecting a network of vibrant people.

• Copies of all our publications including: Annual Reports, Bulletins and Research reports• Around the Campfire, a monthly e-update on the world of community arts and cultural development in WA• Discounts on training and invitations to all events, including launches, networking sessions and forums• Voting rights at the AGM and eligibility to nominate for the Board of Directors• Subscribers discount at Luna Palace Cinemas• Discount of 15% at all Jackson’s Drawing Supplies stores• Member’s discount at Perth Institute of Contemporary Arts (PICA)• Access to artist’s details on our Community Artist Listing.

To become a member of CAN WA, fill in the details over the page or visit our website at www.canwa.com.au/canwa-resources/join-network/ and download our PDF membership form, complete and send to admin@canwa.com.au.

our vision: a future where culture, creativity and the arts are known to be essential for community wellbeing and are at the core of a just, diverse and

resilient society.

member benefits

member categories

Individual full membership $ 33.00

Individual concession membership $ 16.50

Organisational NFP membership $ 55.00

Organisational small membership $ 55.00

Organisational large membership $ 110.00

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membership form member category

new renewing

Individual full membership $33.00 Individual concession membership $16.50

Organisational small (up to 20 staff) $55.00 Organisational not for profit $55.00

Organisational large (over 20 staff) $110.00

concession tertiary institution student number

pension card number

applicant detailsmr/mrs/ms/dr first name last name

organisation

address

state postcode

payment details

phone home work mobile

fax email

organisational large (over 20): nominated representative

name

email

total amount due: $ cheque direct bank deposit

debit my account (Visa, Mastercard, bank card, EFTPOS)

name on card

card number expiry date

signature

direct deposit details BSB 633-000 account no 130068208 account name Community Arts Network WA Main Account

declarationI wish to become a member of Community Arts Network WA subject to Board approval and agree to be bound by the

Constitution and by-laws of the organisation. I understand that if the company (CAN WA) dissolves while I’m still a member, or within one year after I cease to be a member, I may be required to contribute a sum total not exceeding $1.00 (one dollar).

signature datecomplete and send with payment to: CAN WA

PO Box 7514, Cloisters Square WA 6850p 9226 2422 f 9226 2230 tollfree 1800 681 021e admin@canwa.com.au

Community Arts Network WA Ltd (CAN WA) is a registered Company by Guarantee, and under the Corporations Act, members of the public may request to view the register of members. A copy of the Act can be downloaded from Scaleplus.

OFFICE USE ONLYMembership no:Receipt no: Expiry: