Join

To join the Early Music Society of Victoria, please fill in the membership form below. Print and post the form linked below,

 or if paying by direct debit, type in your details and return it by email to the EMSV email address emsvofvic@gmail.com

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Early Music Society of Victoria, Inc -   Membership Application Form

New Membership & Membership Renewal

June 2016- 1st July 2017

 

Name (s)

(family - list parents & children u/18 who wish to be included in the membership that are under the same email address)

 

Address

 

                                                                                 

Phone:                                                                  Postcode: ____________

 

 Email address: (please print clearly in large lowercase):

 

I / We apply for membership of the Early Music Society of Victoria, Inc 

 

Signature                                                                                                 Date

Please circle:         New membership                 Renewal        

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 If you wish, please add your musical interests so we can better accommodate you:    circle as appropriate

  Listener           Scholar              Teacher                  Instrument maker         Player/Singer

  

Instrument(s) played .................................................................................................................................... 

        Please include standard   B=Beginner   I= Intermediate    A=Advanced          P=Professional    T=Teacher     

  

Singers -  circle as appropriate:         

                                                                            Soprano              Alto            Tenor     Baritone   Bass    

Singing standard:   Beginner (can't read music);                          Intermediate (reads music, but can't sight-read);

                              Upper intermediate (sight reads with help);   Advanced (good sight-reader, sings in choir);   

                                                       Professional                                                      Teacher

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PAYMENT

CHEQUE

I enclose a cheque for $10.00  made payable to the Early Music Society of Victoria, Inc. Please send your completed form and payment to:

The Membership Secretary, 

EMSV Inc, PO Box 100, Park Orchards, Victoria, 3114

                                                                                                or

DIRECT DEBIT

Pay by direct debit to account: The Early Music Society of Victoria Inc

   CBA:   BSB No 063-001     CBA Account no 00908428

                                         

Under receiver account description add EMSV - xxxxx (your surname).

 

Also if paying by direct debit, please email the Membership secretary Peter Hawkins emsvofvic@gmail.com   your details as above and include the date of your direct debit.  

 

Note, the EMSV no longer accepts credit card payments.

 

Enquires to the Membership Secretary, emsvofvic@gmail.com or 03 9876 5210.

Use form above for 2016/2017 renewal and new members.

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