SAGS Membership Form

SINGLE AND COUPLE MEMBER BENEFITS:

Each member receives an annual membership card and the following benefits:

- 10% discount off Stanthorpe Art Gallery Boutique purchases.

- Discounts off entry fees for special exhibitions, events or Music in the Gallery performances when an entry fee is charged

- Invitations relating to all art gallery functions

- Are able to nominate for the management committee and vote at the AGM

- Are able to view artworks from the collection on appointment

Music Lovers – We would welcome your gift of $100 to support our concerts through Music in the Gallery. Stanthorpe Art Gallery Society Inc is registered Deductible Gifts Recipient. Donations over $2 receive a receipt for taxation purposes.

Public Programs – We would welcome any donation to support our Gallery programs (Art classes, school holiday workshops, etc). Donations over $2 receive a receipt for taxation purposes.

First Name

Surname

Phone

Please enter a valid phone number.Format: (000) 000-0000.

Spouse (if couple membership)

Email

example@example.com

Postal Address

Town/City

State

Postcode

Membership Status

Select your Membership Type and Term

Membership to pay

Would you like to be a Music in the Gallery Supporter?

Music Supporter to Pay

Would you like to donate to our Public Programs? Please enter a $ value below

TOTAL amount to pay

How would you like to pay?

Direct Deposit. Please deposit the Total amount to pay into our bank account (details below). Please include your name in the REFERENCE and type the reference you used in the box below.

Stanthorpe Art Gallery Society Inc BSB 084 927 A/C 50893 9318

Payment Amount

AUDSAGS Membership Payment

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

SAGS Membership Form

Member Details

Membership Selection

Public Programs Donation

Payment

Payment Amount

SAGS Membership Form

Member Details

Membership Selection

Public Programs Donation

Payment

Payment Amount*

Payment Amount