JOIN THE SOCIETY
 

EITHER: 1. Complete this form below, OR 2.Preferably follow the link to the Membership Application and Renewal Form

 

Please forward the details below with the appropriate payment to the Treasurer, Mrs Jenny Summerson, PO Box 6132, Fairfield Gardens, Q 4103.

 
Title
 
Surname
 
First name
 
Address
 
 
Postcode
 
Phone
   (Include area code!)
email
 
 
I am interested in furthering the aims of the Organ Society of Queensland Inc. and hereby apply for membership in the following category:
(Please tick one)
 
 Metropolitan (within an hour's drive of Brisbane) $50
 Institutional $60
 Provincial/Interstate $40
 Pensioner $40
 Full-time Student $35
 
 
 
Signature  
Date  
 
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