Membership

Join

Title
 Mr Mrs Ms Miss Dr Other

Surname*

Given Name(s)*

Date of Birth*

Occupation*

Email Address*

Confirm email Address*

Home Telephone*

Mobile*

Street Address

Address*

Suburb*

State*

Postcode*

Postal Address

 Same as Street Address

Address*

Suburb*

State*

Postcode*

Emergency Contact

Name*

Telephone*

Membership Type

Fees are payable upon application. Membership operates on a financial year basis with fees due on 1st july each year.

 I do not want to receive marketing materials from QIA

Qualification for National Membership

In accordance with the Constitution of the Queensland Irish Association, proof of Irish Birth or Ancestry may be required at the discretion of the Credentials Committee.

Applicant's Place of Birth

or

Full Name of Irish Ancestor

Relationship

Place of Birth

Proposer and Seconder

We, the undersigned hereby respectively nominate and second this candidate for Membership of the Association.

Proposer

Membership Number

Seconder

Membership Number

Applicant's Consent

 I consent to the nomination. I am entitled to reside permanently in Australia. I have not been expelled from membership of any other association.

I agree to abide by the Constitution of the Association." "I hereby declare that the above statements are true and correct and I have not withheld any information likely to affect the decision of the Board at to my eligibility for membership.

captcha

Enter the words shown above

[dynamichidden reference 'new_reference']

Update Details

Moved? Changed address?
You can update your details instantly online.

Member Number*

Surname*

Confirm

Renew Membership

Please note there are 4 types of membership at The Irish Club

National MemberAvailable to those born in Ireland or with Irish heritage

Associate MemberAvailable to all public who are not of Irish heritage

Associate PensionerContinuous Irish Club Membership for a period of 15 years and hold an Aged Pension or Seniors Card and Not of Irish heritage

National Pensioner  – Continuous Irish Club Membership for a period of 15 years and hold an Aged Pension or Seniors Card and are born in Ireland or with Irish heritage

 

You can renew your membership instantly online.
Membership fees are due by the 1st July each year. All payment are processed through the security of Paypal using your Visa or MasterCard

Member Number*

Surname*

Confirm

If you prefer please print out, fill in and send back the 2013 Membership Renewal Letter