National Trust of Queensland

Documents available on this site are provided in Adobe Acrobat PDF format. You will need the free Acrobat Reader to view these files.

SUNDAY 9 MAY TO SUNDAY 16 MAY 2010

PROGRAM ENTRY FORM - NTQ MEMBERS

Entry to the program is free for National Trust of Queensland members.
$50 entry fee for other participants.

National Trust of Queensland Membership Details
*Membership No:
*Member Name:
*Contact telephone number
Name of Person responsible for submitting program entry information/images
*Name:
*Postal address:
*Contact telephone number
Email Address: (an email will be sent to this address to confirm we have received your entry)
Free programs will be sent to the contact details below
Name:
Postal address:
Contact telephone number:
No. of Programs

Information to appear in Program of Events
Regional Council/City area:
*Town/City/Suburb
*Name of Organisation:
*Venue of Activity:
*Venue Address:
*Contact Telephone Number:
Email: (optional)
Web: (optional)
*Name of Activity or Event:
*Details of Activity: (briefly describe any relevant historical information, or highlights of your activity) max. of 120 words
Bookings Essential:	Yes No Not applicable
Entry Fees Apply:	Yes No Not applicable
*Day and Date and Time of Activity:
Images: Images are to be less than 1.5mb in size and may be submitted for use in the program- please ensure all images are free of copyright.	Please note that not all images will be produced in the program
	I have read and accept the National Trust of Qld Privacy Statement and Conditions of Use