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Membership Form: Individual Membership Application

Membership Form: Individual Membership Application

1st April 2018 to 31st March 2019
Please complete this form to renew your membership of Queensland Quilters.

First Name
Last Name
Address
City
State/Province
Zip/Postal
Country
Please enter your email address
Type Number including area code, without any spaces: 0712345678
Type all numbers without spaces: 0421345678

Membership Fees: Full year Membership to 31st March 2019

$

Art Union Tickets

Each member will be sent Art Union tickets to sell (each book has 10 tickets at $2 each