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Membership
Amount
*
$30
-
Individual
$45
-
Family
$550
-
Lifetime
$50
-
Corporate – non profit organisation
$75
-
Corporate – business
Membership Schedule
One Time
Yearly
Would you like a membership card?
*
In an effort to reduce waste and cost, please let us know if you require a printed membership card or if your are happy with an emailed receipt.
Yes, please send me a card
No, the receipt is enough for my records
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Privacy Policy
*
I have read and agree with the QEII Privacy Policy.
I agree