CAPRICORN COAST SOCIETY OF ARTS INC.

Beaman Park, James Street, Yeppoon Queensland 4703 phone 4938-3535

APPLICATION FOR -MEMBERSHIP/ RENEWAL OF MEMBERSHIP

(circle appropriate one above)

TITLE   Mr...   Mrs...   Ms...   Miss...   Other...............   (please circle one)

FULL NAME:.............................................................................................................

ADDRESS:...............................................................................................................

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TELEPHONE: (Home).................................(Work).................................................

(Mobile Ph.)..........................................(Email)..........................................................

  I understand my Membership of the Capricorn Coast Society of Arts Inc. (the Society) constitutes a agreement on my part to comply with the Rules and By-Laws of the Society. I will exhibit works at the Paint Pot Gallery in compliance with such Conditions and Rules the Society may, in General meeting, from time to time, establish.

  In particular, I hereby undertake that-

1. Work submitted by me is the result of my unaided efforts and is not a copy of the work of another Artist.

2. All of the work I submit for exhibition will be for sale for amount set at my discretion.

3. The Society is entitled to commission on any sale of my work that occurs as a consequence of display at the Paint Pot Gallery--my liability to the Society for such commission will become established if the work is first viewed by the purchaser during a visit to the Paint Pot Gallery. Commission will be calculated in accordance with procedures set by the Society at the time of sale.

4. All risks for damage to, or loss of, work submitted by me for exhibition at the Paint Pot Gallery are mine and I will hold the Society blameless for any loss I may suffer.

5. I will accept the decisions of the Gallery Coordinators regarding the display of work submitted for exhibition.

6. I agree to participate in the roster for the running of the gallery for a minimum of two, or preferably three, shifts per month. This condition is subject to change according to membership variations. Exemption from this condition will be granted from time to time for personal/family reasons.

SIGNATURE.....................................................DATE...........................................

PROPOSER...............................................................)

SECONDER...............................................................) New Members Only

METHOD OF PAYMENT  CASH..............CHEQUE.........(please circle one)

Receipt No...........................(office use only)

MEMBERSHIP FEES ARE CURRENTLY $30.00 PER ANNUM DUE ON 1st of JANUARY EACH YEAR AND ARE TO BE PAID IN FULL BY 31st of MARCH. THERE IS NO JOINING FEE.