Membership - Community Flower Studio

First Name(required)

Surname(required)

Street Address (required)

Street Address line 2

Suburb and State (required)

Postcode of Zip code(required)

Country if not Australia

Phone(required)

Email(required)

Website

Place of Birth

CFS Committee Member

Office

Other talents, please specify

Referee 1 Name(required)

Relationship(required)

Email(required)

Phone(required)

Referee 2 Name(required)

Relationship(required)

Email(required)

Phone(required)

WWCC (Work With Children Check) No. With our partnership with Streetwork (serving young clients between 11 – 19 yrs), Community Flower Studio members will participate in Streetwork activities as volunteers from time to time. It is required by law for individuals to obtain a WWCC No. when working with children and young people <18 yrs. Apply for FREE at NSW Service (or on-line) as a volunteer for the Charity Organisation 'Streetwork'.(required)(required)

Signature of member: I hereby apply for membership of Community Flower Studio (hereafter CFS), I agree to comply with the constitution of the CFS and declare that I have read the Vision Statement of CFS and will contribute my skills and talents to support its activities. Name:(required)

Please re- enter your name here as a Digital Signature: (required)

Date:(required)

Please deposit AUD$10.00 to the Community Flower Studio Inc NAB account by Direct Debit: BSB # : 082 – 212 Acc # : 729-933-729

I have paid my annual membership fees via Direct Debit(required)

This is the receipt number:(required)

Other payment methods will be available in Jan 2020.

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