Membership Form for the Kurilpa Poets

Why not join the Kurilpa Poets? Print & fill out the form below, then hand, snail or email it to us. Oh and give us $25

———————————————————————————————-

Kurilpa Institute of Creativity Inc-Kurilpa Poets

Creativity through sharing   Kurilpa Rat

 

The Treasurer

310 Pullenvale Road, QLD 4069

Phone (07) 0458 598 683

Email: kurilpapoets@yahoo.com

 

 

***

APPLICATION FOR MEMBERSHIP

TAX INVOICE

Name:                                                  Date:                                

 

Address:

 

Email:

 

Telephone:

 

Signature……………………………….

I agree to pay the sum of $25 for 1 Year (+bonus time prior to 1st July 2013) membership in the KICI/ Kurilpa Poets

from this date:

                   to: 30th June 2014

  __ ________________________________________________________

PAYMENT METHODS:

Can be paid by cash at Kurilpa meetings

By cheque to the Kurilpa Institute of Creativity Inc.,

By Direct Deposit or Transfer to;

Suncorp Australia bank BSB: 484-799 ACCOUNT: 60231 6005

Bank details MUST show payees name.

email kurilpapoets@yahoo.com.au to notify EFT payment has been made

 ___________________________________________________________

 ABN 42740483945                 kici is not registered for GST

 

Thank you for supporting Brisbane poetry

 _________________________________________________________________

 

  

 

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2 comments on “Membership Form for the Kurilpa Poets

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    a long time. Thank you and best of luck.

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