APPLICATION FORM Apply online at mtq.qm.qld.gov.au, or alternatively, fill out this form: Please Complete All Sections: First Name: Surname: The world contains so many wonders, it’s hard to know where to start exploring. Which is why an annual MyMuseum Address: Membership is such a great idea. It gives you general entry Suburb: to the Museum of Tropical Queensland for a full year*. Plus VIP invitations to special events and members-only State: Postcode: activities. Which means you can follow wherever your Phone : (daytime) imagination may wander, whenever you like. For 12 inspiring months straight, our place will be your place. Mobile: Create life-long memories with family and friends. Immerse Email: yourself in the unique experiences of the north and beyond. Find out about life’s curiosities during our Discover More Talks. (You will receive confirmation of your membership, updates and special offers via email) Connect with different worlds during our cultural days. Date of Birth: Please choose your membership type: ~ Unlimited entry to the Museum of Tropical Queensland for 12 months Child (3-15yrs) $18 Conc. $22 ~ 10% discount on purchases at the Museum shop** Adult $30 Family (2A + 3C) $77 ~ Discounts at selected local attractions and businesses ~ 10% discount on entry to other Queensland Museum Network museums across the state My Family Members: ~ VIP invitations to members-only programs and special events Full Name: at the Museum of Tropical Queensland Email: (if different) ~ VIP invitations to exclusive member previews of exhibitions and events Date of Birth: ~ Subscription to the Museum of Tropical Queensland e-news Full Name: Join today and make the Museum of Tropical Queensland your place of discovery for an entire inspirational year. Email: (if different) To join today simply complete the application form and Date of Birth: post it to us or come in and see us at the Museum. mtq.qm.qld.gov.au Full Name: Child (3 to 15 years inclusive) $18 Email: (if different) Adult $30 Concession / full time student $22 Date of Birth: Family (2 adults and up to 3 children) $77 Full Name: * Entry fees apply to paid or ticketed Museum events and exhibitions. ** Excluding food items. Email: (if different) Date of Birth: Museums in the Queensland Museum Network include the Sciencentre Brisbane, The Workshops Rail Museum Ipswich Full Name: and Cobb+Co Museum Toowoomba. Email: (if different) Date of Birth: Flip over for payment details. Payment Details: Tick box if details are the same as per above Name on Card: Address: Suburb: State: Postcode: INTRODUCING Phone: Mobile: Credit Card Details: MY MasterCard Visa Credit Card Number: MUSEUM MEMBERSHIP Card Holder’s Signature Credit Card Expiry Date CCV Security No. Hand in your completed form; - in person at the Museum Ticket Desk; BE INSPIRED ALL YEAR - fax it to 07 4721 2093 - email us at [email protected] - post it to 70–102 Flinders Street East, Townsville, Queensland 4810 Please allow 10 working days to receive your pass. CONDITIONS OF USE FOR MYMUSEUM MEMBERS START • MyMuseum membership provides unlimited entry to the Museum of Tropical Queensland for 12 months from date of purchase. • Membership is non-transferable and non-refundable. CREATING • A replacement fee will be charged if card lost or stolen. • Pass holders must validate their entry at the Museum Ticket Desk. • Pass holders may be requested to provide photo identification to validate their entry. YOUR • Entry is subject to availability at time of visit and at peak times. • Priority queuing, invitations, access to collections, discounts to ticketed exhibitions, subscriptions, programs and events apply to MyMuseum Members only and are subject to change and availability. Discounted prices will vary depending on the EXPERIENCE type of program, exhibition or event and will be displayed at Point of Sale. • On presentation of your MyMuseum Membership pass you will also receive a 10% discounted entry to other museums in our network. • Your MyMuseum membership entitles you to receive updates on events and TODAY exhibitions via our e-news service. If you wish to unsubscribe please follow the prompts on your next enews. • Current information about benefits for MyMuseum members is available at mtq.qm.qld.gov.au We understand that your privacy is important to you. We collect your personal information to give you up to date information about the Queensland Museum network including special offers, events and products, and for research to improve your visit. MYMUSEUM MEMBERSHIP PROGRAM We won’t use or share your personal information for any other purpose without your consent, unless required by law. Full terms, conditions, privacy and security information available online at mtq.qm.qld.gov.au .