• QAM Membership Registration Form

    I, the undersigned, hereby make application for membership and agree to abide by the Rules of the QAM 2025; and, in the case of applications for Ordinary Membership, if accepted, I also agree to perform all requested volunteer duties and support the QAM to the best of my abilities.
  • Membership Information

  • Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Payment

  • Please select appropriate payment type below. Please note that if you select the incorrect amount, your application will be denied and you will be required to resubmit your application.

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        Payment Type

        Ordinary Member - Full $40

        Ordinary Member - Concession $25

        Friend of Museum- Full $80

        Friend of Museum - Concession $50

        Friend of Museum - Family $175 

        Friend of Museum - Junior $30

        $40.00 AUD$40.00AUD

        Item subtotal:$0.00 AUD$0.00AUD
          
        Donation
        $5.00 AUD$5.00AUD
          
        Total
        $0.00 AUD$0.00AUD

        Credit Card

      • Should be Empty: