Ipswich Koala Protection Society (IKPS)

IKPS Membership Application

Please refer to fee payment information at bottom right of this page.

Surname:

Adults' names:

Are children to be included in this membership?

Children's names:

Address:

Suburb:

Postcode:

Home phone:

Mobile phone:

Email address:

Are you a wildlife carer?

Type of membership required:

MEMBERSHIP FEES

Annual fees ($25 for a family, $15 for an individual adult or $5 for a junior member) are due on January 1 each year.

Cheques made out to IKPS Inc should be mailed to 22 Weemala St, The Gap, Qld, 4061.

Or pay by direct deposit:

Bank: Bendigo Bank BSB: 633-000 Account: 135047967 Reference: Please use your surname and the word "membership"