Application for Queensland Membership

If you would like to become a Member, please fill out the following application, and press Print Page. After you have done this, please sign and send it with an enclosed cheque or money order to:

The Secretary,
The Australian National Flag Association of Queensland (Inc.)
PO Box 2064, Brisbane QLD 4001
Telephone: (07) 3892 2965

The prices for membership are as follows:

Ordinary Membership $15.00 Annually
Concession Membership $10.00 Annually
Life Membership $100.00
Corporate Membership $150.00
Full Name:
Address:
Post Code:
Telephone:
Fax:
Email Address:
Membership Category:
Signature: _____________________________________
Date: __________________