Surname:First Name:Email:Phone:Street Address:
Membership For 2009/10
(Please Tick)
Family $35
Adults $25
Concession & Students $15I am happy to have my name printed as a member of the Friends of the Ballarat Symphony Orchestra
Please return (with cheques payable to Ballarat Symphony Orchestra) to:
You can download a printable version of this form if you prefer to mail this application.
Membership Benefits:
Enquiries:Joy McKelveyPhone: 5333 5697
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