Queensland Art Gallery | Gallery of Modern Art

Membership joining and renewal form

Please note the Gallery is able to accept online payment by Visa and MasterCard. If you would like to make arrangements to pay by American Express or Diners Club cards please call (07) 3840 7278.

Membership Type

Type of Membership *
Membership Categories and fees *
Individual Membership prices *
Dual Membership prices *
Family Membership prices *
Premium Membership prices *

Your Details

Title *
First name *
Last name *
DOB *

Contact Details

Address *
Suburb *
State *
Postcode *
Home telephone *
Business telephone
Mobile
Fax
Email *
Artmail3

About Me

Finding out about our Members informs the development of programs, events and initiatives. Please tick any of the boxes below that are relevant to you.

Age:
Which programs & events are of particular interest to you?
Which of these titles best describes you?
Please tell us how you heard about this program:

* Denotes compulsory information

1 Name of partner/spouse for Dual and Family memberships only

2 Children's names and dates of birth for Family memberships only

3 Please check if you wish to receive exhibition and event updates via Artmail, the Gallery's free email information service

** Concessions are offered to holders of Government-issued cards for pensioners, the unemployed and full-time students only. Full-time student ID card must be shown. Seniors Business Discount Cards do not qualify for a concession.

** Regional membership is offered to people who live more than 80 kilometres from Brisbane.