*Required
YOUR DETAILS
First name*:
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Last name*:
*
Street address line 1*:
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Street address line 2:
Suburb*:
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State*:
Please select
Queensland
Australian Capital Territory
New South Wales
Northern Territory
South Australia
Tasmania
Victoria
Western Australia
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Postcode*:
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Home phone number:
Mobile phone number:
Work phone number:
Email address*:
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Newsletters and correspondence will be via email only. New members who do not have access to email are encouraged to set up a Hotmail or Google mail address at your nearest library. This is a free service provided by your local council.
Under the Nature Conservation Act, Bat Conservation & Rescue Qld. Inc. is obligated to send updated membership lists to the Queensland Parks & Wildlife Service. Bat Conservation & Rescue Qld. Inc. will not pass member details on to any other organization unless authorized by the member to do so. Your personal details may be passed on to other members of Bat Conservation & Rescue Qld. Inc. for the purpose of rescue and care allocation only.
Yes, I allow my details to be available to the BCRQ general membership
INSURANCE
BCRQ Inc holds Public Liability Insurance in the amount of $20,000,000.
ACTIVITIES
Please indicate which activities you would like to be involved with below.
VOLUNTEER DECLARATION
As a volunteer all costs will be met by the individual member. Where funds permit, Bat Conservation & Rescue Qld. Inc. may help to subsidize costs. If you require further information about becoming a Bat Conservation member, please email our membership secretary at membership@bats.org.au
I accept that Bat Conservation & Rescue Qld. Inc. will not be held liable for personal injury, death, property loss or damage or financial loss as a result of any voluntary work undertaken on behalf of the organization. *Required
I have read and understand the Code of Practice for Wildlife Carers and agree to adhere to the Code. I have also read the Bat Conservation & Rescue Qld. Inc. By-Laws and agree to abide by their rules. *Required
PAYMENT
Membership type*:
Please select
Single Membership ($25.00)
Family Membership - 2 people ($40.00)
Family Membership - 3 people ($50.00)
Family Membership - 4 people ($60.00)
Family Membership - 5 people ($70.00)
Family Membership - 6 people ($80.00)
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Family membership applies to people living at the same address only.
**IF YOU SELECT FAMILY MEMBERSHIP, YOU WILL BE PROMPTED TO COMPLETE A SEPARATE FORM FOR EACH FAMILY MEMBER.**
Payment option*:
Please select
PayPal Invoice
Direct Deposit or Cheque
Cash in person
* *
If you select PayPal Invoice, you will be emailed an invoice to pay by Credit Card or e-Cheque within 3 business days.
Anti-spam
What is 4 + 4?
*Required *Must be a number *Incorrect *Incorrect