Membership Application

To become a Bairnsdale Production Line Theatre Company (BPLTC) member, and join in all that our amateur theatre company offers, fill in the online application form, below, and bank transfer your membership fees.

Membership is renewed annually at or after the AGM.

Become a BPLTC Member

First Name

Last Name

Phone

Street Address

Town

State

Post Code

Select a membership type

Single $25

Concession $20

Junior/Student $15

Family $35

I am over 18 years

Yes

If member is under the age of 18, a parent/guardian is required to enter their name, phone and email address.

Photo Permission: to be answered by members or parent/guardian of members under 18 years of age. I I give BPLTC permission to use photos of me/my child for the purposes of promoting any performances, programmes and fundraising articles produced by them.

Photo Permission

Yes

Bank Transfer Details
Please use LAST NAME as reference on payment.
Bendigo Bank

BSB:633 000

ACC:107968885

ACC NAME: B/dale Production Line Theatre Co

Fees: Single $25, Concession $20, Junior/Student $15, Family $35

Privacy: BPLTC is committed to protecting the privacy of personal information which the organization collects, holds and administers. BPLTC will safeguard the information we collect and store against misuse, loss, unauthorized access and modification and will destroy records once they are no longer required.

Thanks for applying to be a member of BPLTC! We'll get back to you soon.