Queensland Exploration Council Membership

Queensland Exploration Council

Level 29, 12 Creek Street, Brisbane Qld, 4000
P: 07 3295 9560 E: info@queenslandexploration.com.au W: www.queenslandexploration.com
QEC membership application form

2024-25
Company/Organisation (full company name)
ABN
Nominee (addressee for all correspondence)
Position
Postal address
Company phone
Mobile
E-mail
Website
Membership types and fees

2024-25
Full member $1855 + GST

ExplorerContractorLegalBrokeringFinancialCommunicationsConsulting
Individual member $257 + GST

Self-employed individual not representing any organisation in their dealings with QEC, not in partnership with others or employing others.
Electronic signature of applicant

Clear
Additional names (to receive correspondence from QEC)
Name
Name
Position
Position
Email
Email
DETAILS OF COMPANY/ORGANISATION
Short business profile
NOTE: Please do not send any payment. This application will be considered at the next QEC Management Committee meeting. If successful, an invoice will be raised.
Should be Empty:

Queensland Exploration Council