Enter your details and submit this form to
create a completed, printable copy to post back to us. As
part of your subscription, you will receive a
special gift.
Title*
First Name*
Last Name*
Address*
Email*
Postcode*
Phone
(day)
Phone (a/h)
Subscription (all prices includes gst)
Individuals:
Standard $85 - 1 year subscription
Concession $60 - 1 year subscription
Passionate $150 - 1 year subscription
Gold Benefactor $1000 - 5 years subscription and $600 tax deduction
Platinum
Benefactor $5000 - Life subscription and a $4200 tax
deduction
A tax deductible receipt will be sent out for Gold & Platinum Benefactors
Arts Groups:
Receive a year's subscription with full benefits plus access to listing of your arts events in the on-air and online Daily
Arts Diary.
Please find attached a cheque (made out to 3MBS 103.5 FM)
Credit Card
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Expiry
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Name on Card
If a Gift please complete the section below
Name
Address
Phone
3MBS is committed to protecting your privacy and complies with the National Privacy Principles.
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