MEMBERSHIP APPLICATION

ENGAGING THE COMMUNITY WITH

LITERATURE FOR YOUNG AUSTRALIANS

Membership benefits include:Receive valuable information about author visits, conferences, new book releases and other activities for your involvement, enjoyment and professional development.

MEMBER RATES AND DISCOUNTSTake advantage of reduced prices on:• Children’s Book Week materials• Registration fees to CBCA events

e.g. Clayton’s Night Judge’s Talk Awards’ Announcement CBCA Conferences

NURTURING IMAGINATION

THROUGH BOOKS AND

READING

ABN 49 659 828 173

Tel: 1300 360 436Fax: 1300 727 990

Email: vic@cbca.org.au

Membership Application FormPlease indicate the type of membership you require:

Individual $65.00Parents, teachers and librarians.

Concession $40.00Health care card holders, authors, illustrators, students and seniors’ card holders.

Family $74.001 - 2 adults plus children under 18.

Institutional $93.00Schools, public libraries, booksellers, publishers and other interested institutions.

*All prices include GST

Contact Name:

Institution (if appropriate):

Mailing Address:

Postcode:

Telephone:

Fax:

Email:

I live closest to the:

Metropolitan Region Ballarat Region

Bendigo Region Geelong Region

Gippsland Region

I agree to comply with the CBCA VIC Branch Constitution.

Signature:

Cheque: (please attach)

Please make cheque payable to:

The Children’s Book Council of Australia (Vic Branch).

Name On Card: Signature:

Card Number:

Credit Card: Mastercard Visa Card Expiry Date: /

Fax: 1300 727 990Post: Subscriptions CBCA Vic Branch

PO Box 781 Kew VIC 3101