National Trust of Queensland - Join or Renew your Membership

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Two levels of membership are available.

1. NTQ Membership (application form below)

2. NTQ Green Guardian Membership - Visit www.cws.org.au or T: 07 5534 1266

If you do not wish to join or renew NTQ Membership via the internet, you may download:
Membership Application Form.(175kb) or a
Membership Renewal Form (173kb)

National Trust of Qld Privacy Statement and Conditions of Membership

Fields marked * are mandatory.

Membership Application - NTQ MEMBERSHIP
* Please select your type of application.
New NTQ Membership:	$35 joining fee

Renew NTQ Membersip:
Membership Number:
Membership Expiry Date:

Personal Information
Please indicate all adult names to appear on membership card.
	Given name	Surname
* First Person:	*	*
Second person:

Name of Council/Community Org: (only applicable to these groups)
* Email:

* Address:
* City/Suburb:
* State:
* Postcode:
Email Address:
Telephone/Mobile No:
No. of Children aged 4-17yrs (up to 3)

This information helps us help our members:
How did you find out about The National Trust of Qld?	Other (please specify):
Reason for joining:	Other (please specify):

NTQ Membership category

* Please select your preferred payment option: Click here for Category Definitions and Conditions

Ordinary	1 year
Individual (1 Adult)	$65.00
Household (2 Adults + up to 3 children)	$95.00

Concession
Individual (1 Adult Senior)	$45.00
Household (2 Adult Seniors)	$75.00

Council / Not for profit	$85.00


Business	$275.00
Donation amount	$5 $10 $20 $50 $75 $100

Payment details
Total Amount Due:
* Card Type
* Card Number:
* Cardholder's Name:
* Expiry Date:	(mm/yy)
I have read and accept the Privacy Statement and Conditions of Membership	YES *

Membership card will be forwarded to you shortly