Membership Application Form

WWQ Membership Application

To apply for membership please complete all questions.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Phone Number*

Annual Membership

1 Year Membership

$60.00AUD

Total

$0.00AUD

In submitting this form, you are hereby declaring that:

1. You identify as female (Membership of the Society of Women Writers Qld Inc is limited to persons who identify and live their lives as female. Non-female gender is a lawfully permitted basis for denying membership.)

2. You agree to follow the rules of our constitution. A copy of this can be found on our website at https://www.womenwritersqld.org.au
Please verify that you are human*
Should be Empty:

WWQ Membership Application