Join the Lismore Jazz Club

Members enjoy
• reduced entry fee to all our gigs 
• free entry in the Member Raffle drawn each gig.

Being a member gives you the opportunity to attend the Annual General Meeting and become a Lismore Jazz Club committee member.

You’ll be joining a great group of people and supporting your local community of musicians and live music enthusiasts.

Membership is $25 for the financial year.

To join, take a screenshot of the application form below and email the filled out form to info@lismorejazz.org, or pick one up at our next gig.

APPLICATION FOR MEMBERSHIP OF ASSOCIATION

LISMORE JAZZ CLUB INCORPORATED

(incorporated under the Associations Incorporation Act 2009)

APPLICANT

I, ……………………………………………………………………………………………………………….

(full name of applicant)

of …………………………………………………………………………………………………………….. (address)

Email …………………………………………………..…..

Mobile No. ……………………………………   

hereby apply to become a member of the above named incorporated association. In the event of my admission as a member, I agree to be bound by the constitution of the association for the time of being in force.

………………………………………………………       ………………………………………………

Signature of applicant Date

Please pay my $25 annual membership fee (due for renewal 1 July each year) to the following account:

Direct Deposit details:

BSB  728 728 A/C#   22217883

Name:   Lismore Jazz Club

Please be sure you include your name/s so that we can identify your payment on our bank statement.

CONTACT DETAILS for applicant

Postal address (if different from above)

……………………………………………………

……………………………………………………

…………………………………………………………………………… (occupation)