Please download and print the Membership Application Form.
Click here to download the PDF file
(Right click or option-click the link and choose “Save As…” to download this file.)
QANA Membership Fee Payment Options
The annual membership fee for an individual is $40.
Any donation (optional) in addition to that amount will be recorded on a receipt for tax deductibility purposes.
• Handing cash/cheque/money order to the Treasurer at any QANA general meeting. Cheque should be made payable to the Queensland Acoustic Neuroma Association Inc. A receipt will be issued.
(The completed application form should be handed in with payment.)
• Electronically by bank transfer. Details are as follows:Account Name: Queensland Acoustic Neuroma Association Inc.
Account No.: 081770285
Reference: Your name
Please email email@example.com after completing the transfer to notify the Treasurer.
(The completed application form should be scanned and attached to your email.)
• Posting cheque/money order to the Treasurer, Queensland Acoustic Neuroma Association Inc.
PO Box 754, Coorparoo, Brisbane QLD., 4151. Cheque should be made payable to the Queensland Acoustic Neuroma Association Inc.
(The completed application form should be attached to the cheque/money order.)
Thank you for your Application and Welcome to QANA.