QCM Form

Queenslanders for Constitutional Monarchy (QCM)

Please return filled-in forms to Queenslanders for Constitutional Monarchy Association. [Ph 0413 348 843]
by mail to: PO Box 326, Aspley Q. 4034
by fax to: 07 3263 1871
or by email to: freeconstitution@hotmail.com

Forms filled in online can be sent by hitting the send now button below.

I would like to assist the continuing QCM campaign to preserve Australia's Constitution, by:
(check as many boxes as you like!)
Talking with my friends and neighbours.
Distributing QCM literature.
Telephoning talkback radio programs.
Writing letters to newspapers.
Arranging for my service club to invite a QCM representative as guest speaker.
Organising a public meeting to be addressed by one or more QCM representatives.

Another person who might help QCM is:

Person's Name:
(do not use return/enter key!)

Phone:

Fax:

Address:

Email:

My suggestion for defending Constitutional Monarchy is:

The following WEBsite could be listed on the QCM Pages,
enter URL:

and (if known)
Page name:

My own details are:

My Name:

Phone:

Fax:

Address:

Email:

Send a blank copy of this questionnaire to my above email address!

Copy, fax, email, reproduce, letterbox and otherwise distribute this form widely!
Only a person who trusts all politicians can feel safe in a republic.
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