You can now sign up, renew your membership or make a donation with CAN WA online!

Complete the form below, and select your method of payment - paying via credit card will redirect you to our secure Bendigo Bank payment gateway.

If you are making a direct bank deposit as payment, please state your name or your organisation's name in the reference.

Once the payment has been received we will send you out a membership pack.

Or you can download our membership form.

Membership Payment

Membership

New:
Renewing:

Membership Type

Would you like to make a tax deductible donation?

Donations of $2 or more paid separately to your membership are tax deductible .00

membership type - concession type/number

Card type:

Student Number:

Pension Card Number:

Applicant Details

Title:

First Name:

Last Name:

Organisation:

Address:

State:

Postcode:

Home phone:

Work phone:

Mobile:

Fax:

Email:

Confirm Email:

How did you hear about CAN WA?

If other, please tell us:

Declaration

I wish to become a member of Community Arts Network Western Australia Ltd subject to Board approval and agree to be bound by the Constitution and by-laws of the organisation. I understand that if the company (CAN WA) dissolves while I am still a member, or within one year after I cease to be a member, I may be required to contribute a sum total not exceeding $1.00 (one dollar).

Community Arts Network Western Australia Ltd. is a registered Company by Guarantee, and under the Corporations Act, members of the public may request to view the register of members. A copy of the Act can be downloaded from Scaleplus.

payment details

Credit/Debit card

Once submitted you will be redirected to the Bendigo Bank Secure Payment Gateway.

Direct bank deposit

Please record the details below and deposit the the total amount required.

PLEASE NOTE:

You MUST state your name or your organisation's name when making the deposit in the direct deposit description/reference field so we can identify your payment.

Account name: Community Arts Network WA main account
BSB: 633-000
Account number: 130068208

Cheque

Cheques are to be made out to Community Arts Network WA Ltd.