DUBBO ARTZ INC.

Incorporating

"Friends of the Dubbo Regional Theatre and Convention Centre (DRTCC)"

 INVOICE

Being For:           12 month DUBBO ARTZ Individual Membership                  

  *   Please note: this membership expires 31^st December 2010 - Renewal Notice will be forwarded annually.

Amount:              $20.00 per Person

Please make cheques payable to Dubbo ARTZ and return your payment along with the slip below to :

Membership - Dubbo Artz

PO Box 356

DUBBO NSW 2830

Membership entitlements: The Concession Rate to performances presented by the DRTCC or Dubbo Artz , priority bookings where applicable and an informative Bi-monthly Newsletter covering regional cultural events.

Thanking you for your support

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DUBBO ARTZ MEMBERSHIP (September 1^st 2009 – December 31^st 2010)

Please fill out the form below and return it with your payment of $20.00.

Please circle -     New Membership            Renewal Membership 

                                Name: ______________________________________________________

                                Postal Address:    __________________________________________________

                                Email Address:     __________________________________________________

                                Amount Paid: ____________________  Signed:  __________________________Date: ……/……/…..