Membership

To sign up, please fill in the form below. If you'd like to make a donation, please contact us.

Payment may be made:

  • By direct deposit, to our Bendigo Bank account:
    BSB: 633-000
    Account: 135047967
    Reference: Your surname and the word "membership"
  • By cheque, made out to IKPS Inc and mailed to:
    The Secretary
    110 Brass Road
    Mount Forbes, Qld 4340

Ipswich Koala Protection Society
Surname:
Adults' names:
Childrens' names: (if you wish to include them in the membership)
Address:
Suburb:
Postcode:
Email address:
Home phone:
Mobile phone:
Are you a registered Wildlife Carer?
IF YES which group are you registered with?
Which species are you experienced in caring for?
Do you wish to become a carer?
Type of membership required:
Note: A $5 discount applies to all fees paid before 1st Feb.