Australian Rock Company Ltd (ARC) - General Registration Form 2007
(Annual registration includes a link on the ARC website and access to all member services)
New Member 
  		Renewal
   
Membership Type:
Reciprocal Not-for-Profit Organisation
Artists $50
Corporate $100
Government Authority $100
Venue $100
Name
    
Contact #1 Title/Position 
Email Phone
Contact #2 Title/Position
Email Phone
Street Address State
Suburb Postcode
Postal Address
(if different from above)		 State
Suburb Postcode
Website  

We would like to be linked to www.arc.au.com.
We would like to register for 'Live At Lunch'.
We would like to register for 'The Stand'.
We will link www.arc.au.com to our website.

I agree to transfer membership fee to ARC account below, confirming my membership.
or
I will mail payment to ARC: 71 Womerah Ave, Kings Cross, NSW 2011
and/or
 I/we would like to make a fully tax deductible unconditional donation to:
Australian Rock Company Ltd (ARC)
ABN: 52 002 705 302

Total amount to be paid $ Australian Rock Company Ltd (ARC)
BSB: 012281
Account No: 499473842

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