Membership Form

Thank you for your interest in joining EMSQ.

First name

Last name

Address

Phone

Category of membership (Choose from dropdown menu)

Do you play an instrument? Which instruments do you play?

Are you a singer? Which parts do you sing?

Do you consent to limited personal details being available to other EMSQ members (name, postcode, email, phone?)

Do you have any specific requests regarding this consent, or any other special interests or comments?

Please select your membership category and click 'Pay Now' to be taken to the payment page. Thank you.

Ordinary member (individual)$40

Couple (in one household, not eligible for concessions below)$65

Regional member (outside Brisbane, Moreton, Logan and Ipswich council areas$25

Concession (Pensioner and Veterans Centrelink cards, not Seniors cards)$15

Fulltime tertiary students$15

School children$0

I'd like to pay by bank transfer (direct deposit). We will contact you shortly.$0