Membership — SLMAQ

Sign Up

Sign up to become a member by completing the following application form and depositing the membership fee to the below-mentioned account.

Account Name: Sri Lankan Muslim Association of Queensland Inc.

BSB:013017 ; Account: 6584-00713

Family Membership - 100 AUD (annual fee)

Student/Individual Membership - 50 AUD (annual fee)

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you applying as a family, or as an individual/student?

Spouse's Name

First Name

Last Name

Spouse's Email

Spouse's Phone

(###)

###

####

Dependents Under 18 years

Name and age (as of 30 June 2024)

Dependant 2

Dependant 3

Dependant 4

Dependant 5