User account

Membership Application

Individuals interested in becoming Q Group members are invited to submit a membership application using the following form. After submitting the form you will receive an email requiring you to validate your email address. Your details will then be sent to our Membership Committee for consideration. Successful applicants will then be offered membership and provided with an account.

User Name Format

Please request a User Name in the form of:

FirstName.LastName <--- Note the '.'

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Member Information

Title: *

First name: *

Surname: *

Job Title: *

Organisation: *

Membership Type: *

Please select your city (and student if applicable)

Address Work

Street: *

City: *

State: *

Postcode: *

Country: *

Work Phone:

Work Fax:

Mobile:

LinkedIn URL:

Add your LinkedIn URL

Address Home

Street:

City:

State:

Postcode:

Country:

Home Phone:

Home Fax:

Membership Application Information

Nature of work: *