Please highlight the form below, and copy, then paste into a word document and print the form out, then fill out the details and send it to the Q.C.G.C. Secretary at the address enclosed together with the required membership fee.
Application for Membership
Those details indicated with an asterisk ( * ) are used to compile the
Register (contact details for member clubs only) for distribution to member
clubs in April.
|
NAME OF CLUB / SOCIETY * |
|
|
POSTAL ADDRESS * |
POSTCODE |
|
POSITION* |
NAME * (first and surname) |
TELEPHONE * |
|
|
PRESIDENT |
|
|
MERGEFIELD pres_email |
|
SECRETARY |
|
|
|
|
MEETS* Day Time Place |
Week 1st 2nd 3rd 4th last (circle one) Day……………….………………… ………………….…..am / pm ……………………………………………………………………………….....………………… ……………………………………………………………………………..……….……………. |
|
EMAIL ADDRESS (preferred) |
|
|
WEBSITE |
MERGEFIELD website |
|
DATE FORMED |
|
|
MONTH AGM |
|
|
NUMBER OF MEMBERS (approx) |
|
|
FLORAL EMBLEM |
MERGEFIELD Numbers |
|
MOTTO
|
MERGEFIELD motto |
SPECIAL INTERESTS OF THE CLUB: ……………………………………………………………….….……...………………
………………………………………………………………………………………………………………………….…………...…
Membership fee: $20 ($10 if joining from July)
$………………by cheque/money order
Membership year 1 January to 31 December
Please send this completed form with payment to:
The Secretary Queensland Council of Garden Clubs Inc. PO Box 5405 WEST END Qld 4101
Queensland Council of Garden Clubs has Public Liability insurance to the value of $10,000,000