Pensioner Membership Pensioner Membership Form Pensioner 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. 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 * Pensioner - $ 25.00 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
