Membership Renewal Form "*" indicates required fields I/We*Please enter the name/s of those wishing to renew membership. Membership NumberIf you know this number please enter it here I need to update my details Yes No Your DetailsOfFull residential address of applicant/s Postal AddressPlease enter your postal address if different from your residential address. Home PhoneMobile PhoneEmail Renewal DetailsI/We the above applicant/s here with make application for renewal of membership of Swan Hill and District Community Radio Inc., 99.1 Smart FM.Membership Fee : $20 per person or $30 per family. $15 per person concession (under 16 years, pensioners or Health Care Holders) Training fee to become an announcer $22 (once off fee) MembershipMembership Level*Please tick the appropriate membership. Single Family Concession Life Member Concession Number Payment DetailsMethod* Cash Cheque Direct Deposit Method* Not Applicable Call at Station when Presenter on Duty 152 Curlewis street Swan Hill, (check program guide for details) Please make you cheques payable to Swan Hill Community Radio Inc and mail it to PO Box 998 Swan Hill 3585Please remit your payment to BSB 033-665 Account # 183797 Bank Westpac Ref : Your Initial & SurnameWould you like to receive email acknowledgement of your renewal? Yes please No thank you Email Address for notification* Form SecurityCaptchaJust so we know you are human.
