Performance Space Membership

Phone: 02 8571 9111
245 Wilson Street Eveleigh
admin@performancespace.com.au

Performance Space
Membership Form

Please fill in your details below and Performance Space will contact you to arrange payment once your submission have been recieved.

New Member

Renewal

Contact Details (• required information)

• Full Name:

• Email:

• Address:

• Suburb:

• State:

• Postcode:

• Country:

Phone:

Mobile:

Occupation:

Areas of Interest:

Performance

Dance

Visual Arts

Annual Membership Fee (including GST)

$38.50 Full

$22 Concession

$55 Organisations

Prefered Payment Option: (we will contact you to arrange payment)

Credit Card

Cash

Money Order

Cheque

Cheques should be made payable to: Performance Space and can be mailed to:
Performance Space
PO Box 461
Newtown NSW 2042


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