94.9 MAINfm | Castlemaine and Mount Alexander Radio

Name*

First Last

Preferred name (if different from above)

What kind of volunteer role are you interested in?*

I want to update my membership
I'd like to become a new MainFM Presenter
I'd like to become a non-presenting volunteer
I haven't decided yet

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name*

Please provide contact details for someone to contact in the event of an emergency, including name, phone number and email address.

Emergency Contact Email or Phone Contact*

Accessibility

Please describe any access requirements you may have.

Which membership payment do you wish to make?

NEW Member (full, non-presenter), 12 months - $50
NEW Member (concession, non-presenter), 12 months - $30
RENEWAL (full), 12 months - $50
RENEWAL (concession), 12 months - $30
NEW Member (full), 1 year + presenter training - $150
NEW Member (concession), 1 year + presenter training - $130

If accepted as a member of MainFM, do you agree to:*

support the purposes of the Association
be bound by the rules of the Association

Signature*

Please type your name to sign for your agreement of the above

Presenter support commitment*

We ask that volunteer presenters commit to 6 hours of support outside of their shows per year. This can be at outside events, radiothons and other such initiatives requiring many hands on deck. Do you agree to this commitment?

Yes
No

Areas of interest, curiosity or experience*

Describe the interest, curiosity or experience you have that might influence what type of show or role you might undertake at MainFM.

Motiviation:*

What is your motivation behind volunteering at MainFM?

How will you pay your membership fee?*

Bank Transfer (preferred) Castlemaine District Radio Inc, BSB: 313 140, Account: 0211 5586
Cheque (made out to Castlemaine District Radio Inc)
Cash (in person at MAINfm office)

Before you submit...*

There is payment information below this form. It contains all you need to know for making your membership payment. Have you seen it?

Yes, I can see it and will make my payment
Seen what?

Listen Local

Understanding & applying for membership.

IMPORTANT: Regarding payment

MAINfm is privileged to broadcast from Jaara Country, and we acknowledge and pay our respects to the Dja Dja Wurrung people, as the traditional custodians and caretakers of this land. We thank them for the care they have taken of Country, and honour their Elders past, present and emerging.