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WAFF Membership Form

New [_....]         Renewal (Number)_{........................}
Personal Details:

Name: _{................................................................................................................................................................................}

Partner: _{................................................................................................................................................................................}

Address:_{............................................................................................................................................................................................................}

Postcode: _{......................................}

Home: _{...........................................................................} Mob: ._{...........................................................................} Work: _{...........................................................................}

Email:_{........................................................................................}@_{................................................................}

Web: WWW_{..........................................................................................................................................}

Occupation/special Talents:_{.....................................................................................................................}

Interests:

Song [_.....] Music [_.....] Prose [_.....] Dance [_.....] other please specify_{.................................................................................................................}

Are you a performer and/or teacher [_....] Are you interested in the booking service [_....]

if so please give us details for the database so that we can pass on enquiries.

Would you be willing to donate your time and/or expertise for the WAFF occasionally [_....]

If Yes, in what way would you be able to help?_{........................................................................................................................................................}

Annual Subscription Rates

Single: $20 [_....] Family: $30 [_....] Affiliate: $40 [_....] (Membership expires 12 months from receipt of payment)

Please forward with payment to:
WA Folk Federation, PO Box 328, Inglewood, WA, 6932

Enclosed is my cheque/money order for : $_{...........................}

Credit Card Number: __ __ __ __  /  __ __ __ __  /  __ __ __ __  /  __ __ __ __  

expiry date of card:  __ __  /  __ __ Type: Bankcard [_....] Visa [_....] MasterCard [_....]

Signature:._{.................................................................}Date:_{.......................}

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