Registration Form - Caboolture Military Museum

Membership Application Form

Application for Associate Membership Form

Name
First Last
Gender
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Mobile
(Optional) ADF/CADET Service History?
Years Of Service
Unit (If Any)
IF you do not have a firearms licence then by making this application you are declaring that you do not have a current conviction (LESS than 5 years old) that would disqualify me from Firearm Ownership.”
If you have a Firearms Licence please advise the Type, Categories and Endorsements:
Weapons Licence Longarms
Cat
Endorsed
Weapons Licence Handguns
Cat
Endorsed
Other Licence Type
Other Licence Number
Cat
Endorsed
MR1 & MR3 Categories can be endorsed on your Firearms/Collectors license by Weapons Licensing Branch (Q`ld Police Service) for re-enactment purposes ONLY – this will permit you to carry a firearm & to fire BLANK cartridges in a public place for the purposes of demonstration/display ONLY. (Police approval is required for the demonstration and the firearms checked by our an approved person/Arms curator). See the Arms Curator for assistance.
(Police approval is required of the demonstration & firearms checked by our Arms curator). See the Arms Curator for assistance.

Note: Collector Licensees who wish ONLY to satisfy their requirements that they are members of an Approved Historical Society, do NOT need MR1 & MR3. This is for reenactments only.
IMPORTANT! Members who possess a current Firearm’s or Collector’s License please return a clear photocopy of both sides of the licence with this form. (This is for our records. This is part of our conditions as an Approved Historical Society (No: 4900000702), as required by Q`LD POLICE/ W.L.B. and for us to confirm that you are licensed. The information is stored secured & confidential by the membership secretary & is also available for use by the authorized person who fills out the QP 517 forms. – NO LICENSE PHOTO IS USED IN ANY MANNER.)
Name
Date
Date Format: MM slash DD slash YYYY
Annual fees are #Adult – $60 (OVER THE AGE OF 18 YRS)..Junior – (13 TO 18 YRS WITH PARENTAL CONSENT) $20 Below
Parent's Consent: Name
11th LH Museum helpers are always needed & appreciated! Would you like to help out on special days or for general working parties? Yes No Perhaps.

Do you have any other skills? E.g.; Fitter, Boilermaker, Armourer, Carpenter, Electrical, Information Technology, Book Keeping Accounting CPA, etc.

(If Yes or Perhaps the Curator of Arms will contact you about what is required)
Would you like to make a Donation to the Museum? – Donations of $2 or more are Income Tax deductible and a stamped receipt can be issued, (tick box if receipt required.
PLEASE ADVISE WHY YOU WISH TO JOIN THE TROOP AND HOW YOU CAN CONTRIBUTE TO THE TROOP AND THE MUSEUM
Please provide between 300 and 500 characters
Do you know any of the Troop members
- PAYMENT OPTIONS – IMPORTANT -, PLEASE READ CAREFULLY! a) Cheque made out EXACTLY to “The 11TH LIGHT HORSE CT MM ASN INC”.
- b) Cash is not preferred but may be sent to PO Box 315 Zilmere, Qld 4034, via a registered letter –make sure the money is in another envelope first.
- c) Direct Deposits via internet or through your bank, can be done to our Account. Direct Deposit Details are; Heritage Building Society “Club S21 Account” No: 7144318. BSB: No: 638070 Send a copy of the Deposit Slip with this form.
THIS FORM MUST BE RETURNED REGARDLESS – WE NEED YOUR SIGNATURE & IF APPLICABLE PARENTS APPROVAL SIGNATURES ON THIS FORM. OTHERWISE YOUR APPLICATION WILL BE DELAYED. Fees for Junior Associate Members are 25 percent of Associate Member Fees.

Membership Application Form

Application for Associate Membership Form

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280 Beerburrum Road, Caboolture QLD

[email protected]

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