Purchase and Renew Membership

Membership fees (per year)

$35 annually for adults (until June 30 2018)
$25 annually for students (until June 30 2018)

Are you:*

New Member
Renewing

Membership number or Name*

If yo do not know your membership number please include your name

Personal Information

First Name*

Surname*

Postal Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Mobile*

Email*

Billing Information

Same as personal info.

First Name

Surname

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone

Mobile

Email*

Applicant Details:

Please tick as many of the following that describe your interest in the harp:

Please tick which Harp Centre activities interest you:

Do you have any skills you are willing to contribute as a volunteer for the Harp Centre?

Do you have any suggestions for the Harp Centre?

Signed*

User Account Details:

Username*

Please include a new username if a new member or your current username if renewing

Payment Details:

Membership Type:*

Adult
Full-time student (please provide a copy of your student/concession card)

Total

$ 0.00

Credit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Email

This field is for validation purposes and should be left unchanged.