Membership Form: Individual Membership Application

Membership Form: Individual Membership Application

1st April 2022 to 31st March 2023
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

Art Union Tickets

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

Membership Fees: Full year Membership to 31st March 2023

$

Payment

You can make payment by Direct Deposit to Queensland Quilters OR by Credit Card

Direct Deposit

Name of Account: Queensland Quilters Inc BSB: 034-002 Account Number: 768617 Please include your last name and membership number as the payment reference.

Credit Card

Please contact Verna Hunt with your credit card details. Mobile: 0409 062 485