Membership Application Form

We welcome all members that have an interest heritage in Ipswich.

You can down load the application form and scan and post in or you can complete online:

Member Name

Address Line 1

Address Line 2

Email *

Phone

Date of Birth

Thank you for joining the Ipswich Heritage Club. Please choose which membership you would like, and completed payment details.

Full Membership $150: 12 months membership from date of joining provides full access to our online services. A endance, food and drink at monthly functions with guest speakers on relevant topics.
E-Services Only $100: 12 months membership from date of joining provides access to our members-only data base of online resources. You will receive invites to a end functions at an additional cost per person

Payment Method

Bank Transfer: BSB 114 879 AC# 4705 4678 8 Ref# Your Name
VIsa Card
Master Card

Bank Transfer Date

If not completed credit card details below

Visa / MasterCard Details: (If applicable)

Name on Card

Card Number

Expiry Date

(Month and Year)

CVV

Number on the back

Trade Referral:

All members will have access to our online services which include a list of trusted and referred trades people they can enlist con dently to carry out work on their home. Those listed will be quali ed by members referral only & must maintain a high standard of work & ethics to stay on our website. If you would like to recommend a business please ll out the Trade Referral section.

Trade Phone

Comment