THERE ARE TWO WAYS TO JOIN:
1. Fill in the on-line form below and submit it electronically.
Fields marked * are required fields, others are optional. Please make sure that the address you use to register here is the same as your registered Queensland electoral address.

Given Name*

Surname*

Unit/Apart No. and Street

Address 2

Suburb

Postcode

Contact Number

Email Address*


 I accept the
terms and conditions.

Please enter the following text into the box below:

captcha

 

2. Download and print out a copy of the membership application form.
This can then be mailed directly to the address below:
PO Box 10874
Brisbane, Qld 4000


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