Membership - Individual Application and Renewal | Volunteering North Queensland

This field is for validation purposes and should be left unchanged.

We will be in touch once we've received your application.

Name(Required)

Email(Required)

Phone(Required)

Organisation

Location

Suburb State Postcode

Region(Required)

Townsville

Ingham

Charters Towers

Burdekin

Hughenden to Mt Isa

I would like to subscribe to VNQ E-News(Required)

Yes

I would like to subscribe to Volunteering Opportunities E-News(Required)

Yes

VNQ Insurance Declaration

VNQ has current Public Liability and Volunteer Personal Accident insurance providing cover at all VNQ events, activities and volunteer opportunities.

Your signature(Required)

Typing your name here is your signature on this electronic form.

Date

CAPTCHA

Untitled

Individual Membership Application