TheRoyalHistoricalSocietyofQueensland
CommissariatStore
amuseumbuiltbyconvicts
115WilliamStreet
POBox12057
BRISBANEGEORGESTREETQLD4003
Telephone:(07)32214198
www.queenslandhistory.org
info@queenslandhistory.org.au
ABN:34217251028
IWOULDLIKETOAPPLYFORMEMBERSHIP:NEWRENEWAL
IwouldliketoreceivetheQueenslandHistoryJournalElectronically
AnnualMembershipFees:
OrdinaryMember$66
SpouseorPartnerofMember$22
CorporateMember$275
AffiliatedSociety$55
StudentMember(full-time,under25yo)$33
(copyofBulletinonly)
LibraryMember$66
JuniorMember(under18yo)$11
(copyofBulletinonly)
LifeMembershipbyPurchase$5500
(Afteratleast10yearsmembership)
Youarealsoabletojointhroughourwebsite:http://www.queenslandhistory.org/about-
us/membership/.SeetheQRcodeintheheader.
Name(s):_______________________________________________________________________
Address:__________________________________________________________________
Telephone:______________________Mobile:________________________
Email:____________________________________@____________________________
PaymentMethod:ChequeMoneyOrderDirectDeposit
CreditCardMasterCardVisa
NameonCard:_____________________________________________________________________
CardNo.:__________/__________/__________/__________Expiry:_______CVV:_____
DirectDepositDetails:
Signature:_________________________________
Bank:CBA
Acc.Name:TheRoyalHistoricalSociety
ofQueensland
TheCommissariatStoreisamemberofBrisbane’sLivingHeritageNetwork
BSB:064001AccountNo.:00911840
www.brisbanelivingheritage.org |
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