Community Arts Network SA (CAN SA) is the peak body for community arts and is the principal source of community cultural development, information, advice and support services in South Australia. Become a member of CAN SA to help support the organisation build long term partnerships with other community sectors such as local government, health, housing, youth, prisons and disability, where the use of the arts is seen as an effective development tool. Please fill in the following: Name: Organisation: Position: Address: Postcode: Home Phone: Work Phone: Mobile: Fax: Email: . Website: Do you have any accessibility requirements: Please nominate one of the following Friend (free) A free information sharing service designed for individuals and organisations within relevant sectors. You will receive fortnightly Broadcast emails, phone help and initial consultations. Join as a financial member to receive the Bulletin & all other member benefits whilst supporting CAN SA do what it does best - Inspire, advocate, engage, train, research & network. As this is a free service and in order to conserve paper we rollover Friends in February each year, please notify us if you would like to opt out of this service. or Member ($25.00) As a financial member you will receive monthly Bulletins, fortnightly Broadcast emails, consultations and member rates for Workshops and Forums, get voting rights at our AGM and you will be eligible to stand for the Board of Management as well the knowledge you are supporting CAN SA. Membership is calendar year starting from February of each year. or Members+ Insurance ($220.00 full year rate from 16th February 2010) or ($135.00 pro rata rate from 21st August 2010) Includes all above members benefits plus an insurance package offered by Guardian Insurance Brokers. Members+ is based on 1 full year starting from the16th February and after 21st August a pro-rata rate of $135 is charged. For Policy details or any insurance questions please contact Guardian at Telephone: (08) 8238 0100, can@guardian.net.au or visit www.guardian.net.au Once policy has been approved you will receive a certificate of currency. Liability Insurance Package Public Liability $20,000,000 Products Liability $20,000,000 Goods In Physical & legal Control $25,000 Excess any one loss $250.00 As a Members+ I have read and agree to follow the code of conduct printed on the back of this sheet or on CAN SA website. (a copy of policy documents can be found on the membership page of CAN SA website) Please make sure you fill in your art form/arts practice below in order to facilitate policy approval. Members+ Signature: Members/Members+ please tick : Hardcopy Bulletin “Be eco-friendly” email Bulletin Both Versions Can everyone please briefly describe your art form/arts practice (if relevant): ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………… ………………………………………………………………… Community Arts Network SA Membership Form 2010 Community Arts Network SA Inc (CAN SA) 234a Sturt Street, Adelaide, SA 5000 Ph (08) 8231 0900 Fax (08) 8231 0977 SA Country Freecall 1800 245 678 Email cansa@cansa.net.au Website www.cansa.net.au ABN: 56 165 106 275 Community Arts Network SA Vision and Mission Statements Vision: Inspiring Active Community Cultures Through Arts Practice Mission: To lead the development of community arts and cultural practices through advocacy, collaboration, research and evaluation CAN SA Values: Creativity, Pluralism, Active Citizenship and Social Justice Principles Community Arts Network SA Member + Insurance Code of Conduct Members of Community Arts Network SA come into contact with a variety of people such as community members, students (their parents/guardians), clients, work colleagues, and other members of the general public while practicing their artform. These people have a diverse range of views, aspirations, expectations and behaviour and it is vitally important that CAN SA members extend and demonstrate respect for all others in their communications and interactions. As a Member+ of CAN SA I will: agree to abide by this Code of Conduct be aware and mindful of CAN SA’s values in my dealings with others abide by CAN SA’s Constitution be fair, considerate and honest with others be professional in my actions be familiar with and abide by all relevant legislation and/or by-laws make use of written contracts maintain a safe environment for others show concern and caution towards others act in ways that enhance the standing of my profession. Tax invoice – GST Inclusive Please indicate whether you wish to be a:(all prices include GST) – a tax invoice will be forwarded to you on receipt of payment Member $25.00 Member + Insurance $220.00 (full year) Member + Insurance $135.00 (pro rata rate) Please indicate payment method: Money Order Cash Cheque Credit Card Please Debit my: Visa Card Bank Card Master Card Credit Card Number: Name on Card: Expiry Date Signature: Privacy Statement "At Community Arts Network Inc. SA we respect an individual's privacy. Any personal information collected about you is for the primary purpose of providing you with quality membership and training services. All information collected is treated as confidential and we do not make this information known to other persons or organisations without your consent. You have the right to gain access to your information at any time. For more information please see our Privacy Policy on our website www.cansa.net.au. Any privacy related enquiries can be directed to CAN SA (08) 8231 0900 or by email to cansa@cansa.net.au"  Community Arts Network SA Inc is assisted by the Australian Government through the Australia Council, it’s arts funding and advisory body and by the South Australian Government through Arts SA. Membership Form 2010 Community Arts Network SA