Cystic Fibrosis Queensland Membership Form Membership period: 1 January - 31 December 2021 Member Details Your Full Name Your email I have CFMy child has CF Child details MaleFemaleOther Membership Categories Concession - $15Standard Memership - $30Friend of CFQ - $50Corporate Membership - $200 Payment Method Direct transfer to Cystic Fibrosis Queensland Ltd BSB: 034-036 Account number: 291 909 MUST INCLUDE reference: lastnameMshp - Please email a screenshot of your deposit receipt showing the transaction to services@cfqld.org.au Pay by card - payment will be taken within three business days VisaMastercardDirect transfer I am interested in finding out more about being involved in: Events and fundraisingVolunteeringCommunity Advisory Committee I am interested in finding out more about: Trusted Care I declare that the above information is true and correct
