Become a Member

Membership Application and Renewal Form

Objectives of Women’s Space Association Inc.: Womenspace provides opportunities for women to educate and enrich themselves in a safe, nurturing environment by:

Providing a venue for women to meet and explore their interests.
Enhancing the individual wellbeing of women
Providing programs to encourage personal growth
Providing information to resource women

Membership Details and Benefits
Membership runs for 12 Months from date of payment.

Individual Membership Fees:	Business Membership Fees:
$20 per year	$40 per year
$36 for 2 years	$76 for 2 years
	(To receive room hire discount)

Please select one of the following:*

Individual Membership $20 per year
Individual Membership $36 for 2 years
Business Membership $40 per year
Membership Renewal $76 for 2 years

Name*

First Last

Address*

Street Address Address Line 2 State Post Code Country

Contact Number*

Email*

Payment Options*

I will pay my $20 Membership Fee through PayPal
I will pay my $20 Membership Fee direct to Womenspace Bank Account

Payment Options*

I will pay my $36 Membership Fee through PayPal
I will pay my $36 Membership Fee direct to Womenspace Bank Account

Payment Options*

I will pay my $40 Membership Fee through PayPal
I will pay my $40 Membership Fee direct to Womenspace Bank Account

Payment Options*

I will pay my $76 Membership Fee through PayPal
I will pay my $76 Membership Fee direct to Womenspace Bank Account

Women's Space Bank Account Details

Bank: Suncorp	BSB: 484 799	Account No: 079 108 238
Account Name: Women’s Space Association Inc.		Reference: name and ‘membership’

How did you hear about Womenspace?

Word of mouth
Website
Facebook
Other

Other

Total Membership Fee

$ 0.00

Authority to add your email to the newsletter list

I agree to have my email address added to the newsletter list.