Membership Application/Change of Details Form - Accompanists' Guild of Queensland

Are you applying to become a new member of AGQ or updating your existing membership details?*

Become a new memberUpdate my membership details

Personal Details
Name*

PrefixFirst NameLast Name
Your name as registered with the Accompanists' Guild of Queensland*

PrefixFirst NameLast Name
Updating Name

Are you updating your name?
Your new name*

PrefixFirst NameLast Name
Updating Credentials

Are you updating your credentials?
Credentials
Enter your credentials (eg. PhD, BMus)

Contact Details
Updating Contact Details

Are you updating your contact details (Address, Phone Number, Email)?
Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Membership Options
Updating Membership Details

Are you changing your membership level and/or student details?
Choose your membership*
* Student members will be listed as such on the Guild's members list
Student Type*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Please provide your Teacher's contact details as a reference.
Teacher's Name*

First NameLast Name
Teacher's Phone Number*
Please enter a valid phone number.
Teacher's Email*
example@example.com
University/Program*
Student Number*

Terms and Conditions
I would like my Name, Credentials, Suburb, and Phone Number listed on the website*

YesNo
Members are advised to be aware of legal requirements for working with children. Please see the Blue Card website for more information.
Please upload a short CV of your accompanying experience, along with two referees (Name, Phone Number, Email Address)*

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Please verify that you are human*
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