Join Holdfast Bay Concert Band

Once this form is submitted the Secretary will make contact with you to finalise your membership.

	Annually	6 Months	Quarterly	10 Month	Monthly	Weekly
Adult	$100.00	$50.00	$25.00	-	-	-
Family	$70.00	$35.00	$17.00	-	-	-
Under 18	$70.00	$55.00	$17.50	-	-	-
Life/Honorary	-	-	-	-	-	-
Custom	-	-	-	-	-	-

Existing members, please do not use this form.

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Title :	Not specified Mr Mrs Miss Ms Dr
First name :	Required
Surname :	Required
Email Address :
Mobile Phone :
Home Phone :
Street address :
Town/Suburb :
State :	NSW Vic Qld Tas WA SA ACT NT
Postcode :
Emergency contact (name and phone number):
Date of birth :
Instruments played:	Bass - Electric StringBass Bassoon Clarinet MD Clarinet - Bass Cornet Euphonium Flugel Flute Flute - Piccolo French Horn Guitar Harp Keyboard Oboe Percussion Percussion - Aux Percussion - Timpani Saxophone - Alto Saxophone - Baritone Saxophone - Soprano Saxophone - Tenor Tenor Horn Trombone Trumpet Tuba
Which band would you like to join?	Holdfast Bay Concert Band (Concert Band) Holdfast2 (Concert Band) Lindy Hip Singers (Choir) The Kauri Lounge (Music Center Social)

Click the Next button below to submit your application...