Members Application
Annual Renewal For Membership
Name …………………….. ……………………………………… ………………………………
Address ………………….. ……………………………………… ……………………………..
Phone ……………………. ………………………………………. ……………………………..
Email ……………………… ……………………………………… ………………………………
Fees
Waged $50 ( )
Unwaged / Student $30 ( )
New member ( ) Renewal of membership ( )
Payment Options
(a) Mail your cheque or money order payable to “Hunter Island Press Inc” with your renewal form to:-
15 Wingara Road, Howden Tasmania 7054
(b) Direct deposit to “Hunter Island Press Inc”:
MyState Financial
BSB 807 009 Account Number 10049117
Comments
We value your feedback – please let us know your thoughts and ideas about the past and the future of HIP.
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..
How did you hear about us?
………….. …………….. …………… ………….. ………….. …………….. ……………..
………….. …………….. …………… ………….. ………….. …………….. ……………..





