QMTA Membership Renewal Form

QMTA Townsville and District Branch Inc. Membership Renewal Form 2024

To renew your membership please complete the details below.
Name*
E-mail*
Have your details changed (postal address, teaching address, website, home number, mobile number)?

YesNo
Postal Address
Teaching Address
Website
Home number
Mobile number
Date of Renewal*
If you are renewing your membership on or before the date of our Branch' AGM (10 February 2024) you will receive an early bird discount of $10. Please apply the coupon code AGM below (and click "apply") to claim your discount.

Membership Type

Professional (including print journal)$145.00AUD

Professional (digital journal only)$120.00AUD

Life membership (including print journal)$90.00AUD

Life Membership (digital journal only) $65.00AUD

Associate (including print journal)$130.00AUD

Associate (digital journal only) $105.00AUD

Student (including print journal)$85.00AUD

Student (digital journal only)$60.00AUD

Print Journal only$45.00AUD

Enter coupon

Payment option*

EFTCheque or Money Order
Please set a date when the treasurer should expect your payment

DayMonthYear
Date
EFT Banking details

Bank Name: Commonwealth Bank

Account Name: Music Teachers’ Association Qld Inc

Account BSB 064 823

Account Number: 0090 5001

Ref = your name Date of transfer
Cheque or Money order

Post to
MTAQ Townsville & District Branch Branch Secretary
PO Box 7727
GARBUTT QLD 4814
Signature*

Clear
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QMTA Townsville and District Branch Inc. Membership Renewal Form 2024