Membership Renewal

If your contact details have not changed, please tick the "No Change" box and leave those sections of this form blank. Please write your name as you want it to appear on your membership card. This form can also be used to notify a change of address.

 

Change of Address:

This form is to advise a change of address only.

 
Last Name: * Title:

First Name: *

 
No Change:

My contact details have not changed since my last renewal.

 

Address:

 

 
City/Town:

 

State:

 

 Postcode:
Country:

 

Home Phone:

 

Mobile:

 

Email: *

 
Newsletter:

Complete this section only if you wish to change your method of delivery.
Please send my newsletter via:

Post Office Mail Email

This is a change


Extra Family:

Please list the full names and relationship of any extra family members included in this renewal. All extra family members must reside at the same address as the applicant. Membership for extra family members is entirely optional. Please note that additional fees apply as shown below and there is only one newsletter issued to each household.

 
   
Comments/Suggestions:

 
Acceptance: *

I agree to abide by the conditions of the QAM Constitution

Accept
Date: Day Month Year
 
The contents of this form will be made available only to QAM members who require this information for the performance of their duties. Membership details will not be published or made available to anyone outside QAM.
   
  * Mandatory Field
   
  It is important that you submit this form before you process your payment. After submitting this form, you will need to use your browser's back button to return to this page to process your payment. PayPal will return you to this page but all fields will have been reset.
   

Caution: This button will clear every entry on this page.
 
 
 
 

 

PAY ONLINE

 

 

If you do not have a PayPal account, the PayPal website will assist you to create an account when you submit your payment. As you add an item to your shopping cart, the contents of your cart will be displayed. If you need to add other memberships and/or a donation you will need to use the "Continue Shopping" button which will bring you back to this page where you can add other items to your cart.

If you make a mistake you should check the relevant "Remove" checkbox in your Shopping Cart and click "Update Cart". Then click the "Continue Shopping" button to return to this page to make another selection. Please do not directly amend the "Quantity" column of the Shopping Cart.

Please report any difficulties to admin@qam.com.au

Alternatively, you can make a direct deposit to QAM's bank account if you wish. Important: please enter your name as the reference.

Queensland Air Museum Inc
Suncorp
BSB 484799
Account No. 030394637



Full Membership
Senior / Student / Junior
Extra Family
Optional Donation
Review your Membership Fees and
Proceed to Checkout
 
 
Based on QAM Form F6 Rev 10 7/09 - Issue 3 - 08JAN10