Doctor Who Club of Australia

The Ranch Hotel
Eastwood
Starting 6:30pm
Finishing late

Brisbane Square Library
Starting 10am
Finishing 4pm

Toowoomba City Library
Starting 10am
Finishing 3:30pm

For more details, please visit our events and local groups pages, or contact us.

First Name:
Last Name:
Email:
Street Address:
Suburb:
State:
Postcode:
Country	Australia Overseas
Phone Number:
Membership type:	Adult - 1 year: $21 Adult - 2 year: $40 Concession - 1 year: $20 Concession - 2 year: $38 Family - 1 year: $25 Family - 2 year: $48 Overseas - 1 year: $35 Overseas - 2 year: $68
Family Membership: If choosing family membership, please give the names of the other members.



Membership Renewal:	No Yes
Additional comments:

Please note: • All prices are in Australian Dollars • Family memberships are for up to 5 family members living at the same address. Extra family members can be added for $5 per person, per year. Please contact us regarding this option.