Associate Membership Associate Membership Form Associate Membership Signup Form All members applying to join the Ukrainian Community of Queensland Inc. (UCQ Inc.) must include two (2) nominators who are current, financial members of the UCQ Inc. WE ARE CURRENTLY WAIVING THE REQUIREMENT FOR TWO NOMINATORS FOR ASSOCIATE MEMBERSHIPS - PLEASE ENTER "Crisis Waiver" IN BOTH THE NOMINATOR FIELDS BELOW In additional to the previous requirement, all memberships processed on this page are conditional on approval by the Management Committee per our Rules (Constitution). In the event your membership is not approved, your membership dues will be refunded. Membership * Associate - $ 10.00 Please renew my membership automatically. Membership will renew automatically. Total Amount Membership Form First Name * Last Name * Ukrainian Name First Nominator Second Nominator Birth Date * Email * Phone * Street Address * Street Address (Line 2) Suburb * State - select State/Territory - Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Post Code * Country * - select Country - Australia Review your contribution