Membership Application Form

Application for Associate Membership Form

  • IF you do not have a firearms licence then by making this application you are declaring that you do not have a current conviction (LESS than 5 years old) that would disqualify me from Firearm Ownership.”
  • If you have a Firearms Licence please advise the Type, Categories and Endorsements:
  • MR1 & MR3 Categories can be endorsed on your Firearms/Collectors license by Weapons Licensing Branch (Q`ld Police Service) for re-enactment purposes ONLY – this will permit you to carry a firearm & to fire BLANK cartridges in a public place for the purposes of demonstration/display ONLY. (Police approval is required for the demonstration and the firearms checked by our an approved person/Arms curator). See the Arms Curator for assistance.
  • (Police approval is required of the demonstration & firearms checked by our Arms curator). See the Arms Curator for assistance.

    Note: Collector Licensees who wish ONLY to satisfy their requirements that they are members of an Approved Historical Society, do NOT need MR1 & MR3. This is for reenactments only.

  • IMPORTANT! Members who possess a current Firearm’s or Collector’s License please return a clear photocopy of both sides of the licence with this form. (This is for our records. This is part of our conditions as an Approved Historical Society (No: 4900000702), as required by Q`LD POLICE/ W.L.B. and for us to confirm that you are licensed. The information is stored secured & confidential by the membership secretary & is also available for use by the authorized person who fills out the QP 517 forms. – NO LICENSE PHOTO IS USED IN ANY MANNER.)

  • Date Format: MM slash DD slash YYYY
  • Annual fees are #Adult – $60 (OVER THE AGE OF 18 YRS)..Junior – (13 TO 18 YRS WITH PARENTAL CONSENT) $20 Below
  • 11th LH Museum helpers are always needed & appreciated! Would you like to help out on special days or for general working parties? Yes No Perhaps.

    Do you have any other skills? E.g.; Fitter, Boilermaker, Armourer, Carpenter, Electrical, Information Technology, Book Keeping Accounting CPA, etc.

    (If Yes or Perhaps the Curator of Arms will contact you about what is required)

  • Would you like to make a Donation to the Museum? – Donations of $2 or more are Income Tax deductible and a stamped receipt can be issued, (tick box if receipt required.
  • Please provide between 300 and 500 characters
    • PAYMENT OPTIONS – IMPORTANT -, PLEASE READ CAREFULLY! a) Cheque made out EXACTLY to “The 11TH LIGHT HORSE CT MM ASN INC”.
    • b) Cash is not preferred but may be sent to PO Box 315 Zilmere, Qld 4034, via a registered letter –make sure the money is in another envelope first.
    • c) Direct Deposits via internet or through your bank, can be done to our Account. Direct Deposit Details are; Heritage Building Society “Club S21 Account” No: 7144318. BSB: No: 638070 Send a copy of the Deposit Slip with this form.

    THIS FORM MUST BE RETURNED REGARDLESS – WE NEED YOUR SIGNATURE & IF APPLICABLE PARENTS APPROVAL SIGNATURES ON THIS FORM. OTHERWISE YOUR APPLICATION WILL BE DELAYED. Fees for Junior Associate Members are 25 percent of Associate Member Fees.