• Membership Renewal Form

    If you're an existing PICQ member looking to renew, this form is for you.
  • Which type of membership would you like to renew?*

  • BSB: 484799 | Acct No. 602063280

    Account Name: PICQ | Suncorp

  • Membership Renewal and Receipt
    To complete your renewal, please upload a copy of your payment receipt below. This can be a screenshot, photo, or scanned copy of your receipt. For cash payments, please pay directly to your nearest Suncorp branch and simply take a photo of your deposit receipt and upload it here.

    Please use the following payment reference when making your payment:
    RENEW [Your First Name] e.g. (RENEWJohn)


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  • Update Personal Details

    if applying for group membership, please include contact person below for future correspondence
  • DOB*
     - -

  • Proof of QLD Residency 
    Membership is only available to Queensland residents. Please upload a copy of one of the following documents to verify your Queensland residency status. You can use a recent:

    • Utility Bill
    • Centrelink receipt/correspondence letter
    • Valid QLD drivers license 

     

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  • Declaration

  • I hereby declare that all information provided in this form is true, correct and complete. I understand that providing false or misleading information may result in cancellation of membership.

     

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