Membership for QOSA is now open.

Please download the Membership Form 2017 or fill in the form below:

Please tick:

Membership:  New Member Renewing Member

 

I would like to receive information on events being held in the following hubs:

 Brisbane  Sunshine Coast  Far North Qld
 Darling Downs  GoldCoast  

I am interested in the following areas of music and movement education:

 Early Childhood  Tertiary  Special Needs/Therapy
 Primary  Instrumental  Community Arts
 Secondary  Vocal  Other:

Please complete the relevant section below:


 Section A - Individual Member: $70.00

Name:
Phone(h):
Phone(w):
Mobile:
Email:
Address:(for newsletter postage)
 
Suburb: State: Postcode:
Occupation:
School/Organisation:

 


 Section B - Full-time Student Member : $35.00

(current full-time student ID required)

Name:
Phone(h):
Phone(w):
Mobile:
Email:
Address:(for newsletter postage)
 
Suburb: State: Postcode:
Institution:
Course:
ID No:

 


 Section C - Institutional Member: $120.00

(allows 3 staff members at any one time to attend workshops and courses at member prices)

Institution:
Contact Name:
Position:
Phone(h):
Phone(w):
Mobile:
Email:
Address:(for newsletter postage)
 
Suburb: State: Postcode:

 


Information provided is used only in connection with QOSA & ANCOS events and will remain confidential.

Payment options (please tick):

 Cheque (mailed)

 Internet transfer

Payable to: Account Name: QOSA | BSB Number: 064121 | Account Number: 10026165

Reference: your surname & ‘mship’ | Date of transfer:

 Credit Card – Visa or MasterCard

Card Number:
Expiry date:
CCV: (CCV number 3 digits on the back of the card)
Name on card:
Card holder email: