Reg. no A001316R VRG website: www.vrg.org.au VRG email: [email protected] Membership 2015 Please send this form to: The Secretary, Victorian Recorder Guild Inc, PO Box 2729, Mt Waverley, Victoria, 3149 Mr / Mrs / Ms / Dr ……………………………………………………………….. Name (For a school subscription or group membership, give the name of the teacher or group representative) Postal address Telephone ……………………………………………………………………………………. ……………………………………………………………………………………. ……………………………………(home)………………………………..(work) …………………………………….(mobile) E mail ………………………………….... Would you like to receive your newsletters by email? ($3 discount) (Please note: choosing this option, if you can, saves the VRG considerable printing costs)………………………......……………(YES/NO) Type of membership (please circle) Full……………………………………………………………………… $50 Concession (people receiving a government pension)…………............. $40 Family (named members living at the same address)*…………………. $55 School/Institution/Group*……………………………………………….. $56 Less discount for e-mail delivery of newsletter………………..- $ 3 Amount due………………… $ __________________________________________________________________ Your payment type: 2 options I am enclosing a cheque…… Cheques should be made payable to Victorian Recorder Guild InC. Please write your name on the back OR I paid by direct bank transfer on …………………………(date) Account details: VRG Inc. Commonwealth Bank, Camberwell BSB 063113 Account number 10084383 Payment code for 2015 membership should be VRG15+your surname eg VRG2015Smith Note: If you are not paying by cheque, could you please deposit your membership fee by direct bank transfer before you send in this form? Also, please don’t forget to send in the form! Do you require a receipt? Yes/No *Please attach a list giving the names of family members, or name of group. 1/2 Additional Information Please could you respond to the following questions? This information will help the committee plan events in 2015. 1. Blow-in venues The committee is always looking for convenient venues for blow-ins, especially venues with airconditioning for the warmer months, and with kitchen facilities. Are there any suitable venues near you which the Committee could approach? ……………………………………………………………………………………………………….. ……………………………………………………………………………………………………….. 2. Consent to photographs From time to time photographs are taken at Guild functions for use in the newsletter and other Guild publicity. Please indicate your preference regarding photographs. ___ Yes, I agree to my photograph being used by the Guild ___ No, I would prefer my photograph not be used in Guild publicity ___ Please ask me at the time 3. Help for the Guild in 2015 Is there any help you could offer the Guild Committee in 2015? ………………………………………………………………………………………………………….. …………………………………………………………………………………………………………. ………………………………………………………………………………………………………….. Note This form is for completion by both new members and renewing members. However, if you joined the Guild as a new member as a result of attending the 2014 Myrniong Spring Weekend your subscription continues to 31 December 2015, and you do not need to fill in this form. 2/2