QAA/Flying Arts Inc
Member Transition Form

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Welcome. Under the requirements of the Privacy Act, completing this form will enable you to make a simple transition of membership from QAA to Flying Arts Inc. You will immediately become an Associate Member of Flying Arts until the expiry date of your QAA membership. At that time you will have the option to renew your membership with us. As an Associate Member you are elegible to receive all the benefits we currently offer, as outlined in the 2011 Member Prospectus. Your information is protected and will only be used by us in conjunction with the provison of member services.

Further information about Flying Arts is available at: www.flyingarts.org.au.

1. Please fill out the form below with your details.

First Name *This question is required

Last Name *This question is required

Title

Street Address *This question is required

Suburb/Town *This question is required

State *This question is required

Postal Code *This question is required

Email Address *This question is required

Phone Number *This question is required

Mobile Phone

Website

2. QAA Financial Membership Status *This question is required

Standard Member
Accredited Member
Lapsed Financial Member

QAA Membership Number

QAA Membership Expiry Date

calendar

3. Do you have a current QAA Public Liability Insurance Policy? *This question is required

4. Would you like to join our member news bulletin to keep up on news, activities and benefits?

Yes, send me news and updates. (We respect your privacy and will not send unsolicited email.)

Welcome to Flying Arts. Our commitment is to support the development of artists and the visual arts sector in Queensland. More information about our work is available on the website at www.flyingarts.org.au. By completing this form you agree to abide by the Rules of the Association which can be found at www.flyingarts.org.au.

We look forward to a long and beneficial association with you.

QAA/Flying Arts Inc Member Transition Form

QAA/Flying Arts Inc
Member Transition Form