Membership Application - Qld Institute of Clinical Pastoral Education

Membership Application

The QICPE Team is always delighted to encourage previous students and others to become financial members of the Queensland Institute of Clinical Pastoral Education.

If you would like to join, please complete the following form:

Member Title*
First Name*
Surname*
Address Line 1
Address Line 2
Address- Suburb/Town*
State*
Postcode*
Please enter a number from 0000 to 9999.
Email*
One Year Membership
Price: $30.00
Payment Method*
Comments
This field is for validation purposes and should be left unchanged.