Little Ship Club Queensland Squadron

Renewing Your Membership

Membership Renewal
If you are not currently a member and wish to join the club, click here.

Full name
Street
Suburb
Postcode
Membership No.
Associate Member Name
Boat Name
Phone (home)
Phone (business)
Phone (mobile)
E-mail
Signature
Date

Payment to accompany this application Please make cheques payable to "Little Ship Club" or complete the following for payment by credit card and post to: The Little Ship Club, 1 Yabby Street Dunwich QLD 4183. DO NOT include your credit card details here if submitting this form over the web. Instead, you will be taken to our fully secure server when you click on the Submit via Internet button below.

Card type	Mastercard Visa card
Card number
Expiry Date
Amount due*
Signature
Date
* Fees ALL PRICES INCLUDE GST	Membership Fees Full member: $143.00 p/a Senior rate: $71.50 p/a Associate member: $6.00 p/a	Large Burgee: $33.00 Small Burgee: $22.00 Club Tie: $25.00 Tie Pin: $8.80

Clicking the submit button more than once will result in multiple orders.

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