Writers Groups and Organisations Signup Form

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* Membership Type

Writers Group $99.00 for each year 12 months membership with Queensland Writers Centre for writers groups. Billing recurs automatically at end of 12 months.
Organisation Membership $150.00 for each year 12 months membership with Queensland Writers Centre for institutions and organisations. Billing automatically recurs at end of 12 months.

* First & Last Name

* Your E-Mail Address

a confirmation email will be sent to you at this address

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Do you have a student card, Health Care card, Seniors or Pensioners Card?

How would you like to receive a copy of our magazine, WQ?

Address Information

* Street

Street (Second Line)

* City

* Country

* State

* ZIP Code

Company

Phone Number

Telephone Work

Mobile

Postal address

What is your postal address?

Postal address line 2

Postal suburb

Postal state

Postal country

Postal postcode

Tell us all about your organisation

How many members do you have in your organisation?

What is the focus on your organisation?

How often does your organisation meet?

How can the Queensland Writer's Centre help your organisation?

Website URL

Twitter URL

Instagram URL

Facebook URL

How would you like to pay?

Enter coupon code

* Payment System

Pay with a cheque You will be given the address to send the cheque to
Pay With Your Credit Card Accepts all cards. Payment will be recurring.

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Writers Groups and Organisations Signup Form

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