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MEMBERSHIP APPLICATION FORM How to Join the Musicological Society of Australia, Inc. You
may either print the Membership Application Form below or download
it as an Acrobat PDF File (155kb). Membership
Secretary: Mr Philip Wheatland I/We hereby wish to apply/reapply for membership of the Musicological Society of Australia: Please print clearly. Completion asterisked (*) items is required. Full Name(s)*: ____________________________________________________________ Postal Address*: __________________________________________________________ Phone: (w) ______________(h) ______________(fax)______________ (m)____________ E-mail: ________________________ WWW: ___________________________________ Research Interests: ________________________________________________________ Membership Categories (please tick the appropriate category)
Annotated Membership List The Society regularly publishes a list of members with their contact details and research interests. This is distributed to members and occasionally, where there is a benefit to members, to other organisations approved by the National Committee. Please indicate whether you wish to be listed in the next edition:
Website and Newsletter The MSA's website http://www.msa.org.au posts current information about the Society, its publications and events, as well as the biannual Newsletter. To help reduce printing costs, we welcome our members accessing the Newsletter online, and will send email notification of when the latest issue has been posted. If you still wish to receive the Newsletter in hard copy, please indicate here:
Ordering BACK ISSUES of Musicology Australia
Please add AU$10 per copy for overseas shipping (SAL). Please send these vol(s).: Total: AU$ ______+ Overseas shipping = AU$ ______ Payment Details I enclose a ___ cheque/money order, OR Please charge my ___ Bankcard, ___ Mastercard, ___Visa Card no.: _____ _____ _____ _____ Expiry: ___/ 20___ TOTAL AMOUNT : AU$ __________ Name on Card: ___________________ Cardholder' signature: ________________ Date: __________ Please make cheques/money orders payable to Musicological Society of Australia, Inc. All payments by cheque must be in Australian dollars drawn on an Australian bank. Please print out this application, and forward with remittance enclosed to the Membership Secretary at the address above. If applying by credit card you may fax or e-mail your application to the fax number or e-mail address given above. Please note that the membership year of the MSA is 1 July to 30 June the following year. OFFICE USE ONLY RCPN: _________________DATE: ________________IDS/P: ___________S;_ TYPE____________ www.msa.org.au ABN 79 159 245 591
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Copyright
© 2007 Musicological Society of Australia Inc. GPO
Box 2404, Canberra ACT 2601 |