Membership Application Form

Membership year covers the 12-month period 1st July to 30th June. Interested people are welcome to join at any time of the year however please note that no discount is applied to the membership fee, and the expiry date will remain 30th June

What class of application is this ? *

Renewal of ordinary membership ($80.00) New ordinary membership application ($80.00) Renewal of corporate membership ($80.00) New corporate membership application ($80.00) Renewal of student membership (Free) New student membership application (Free)

* Indicates required field

Title *

Name *

First

Last

ORDINARY OR CORPORATE MEMBER DETAILS

Occupation *

WORKPLACE *

STUDENT MEMBER DETAILS

Student – Program of study *

Place of Study *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

HOW WILL YOU BE PAYING FOR YOUR MEMBERSHIP? *

Credit card via Pay Pal Direct bank transfer I am a student (free)

Professional Interests *

PLEASE NOTE

Full fee membership application are only processed once payment is confirmed
Free student applications are only processed once a copy of a student card has been emailed to shsqueensland@gmail.com
Payment options will pop up once you have submitted this form
You do not need a Pay Pal account to pay by Credit Card, there will be a $2.50 service fee
Direct Bank Transfer, please add your last name as a reference
Your application will need go to a management committee meeting for approval, our meeting are held on the 3rd Wednesday of each month. We will send you your membership information and receipt once your membership approved by our management committee

Submit