Application Form

Membership cost is $10 per annum for an individual; $15 per annum for a household.

To join the Friends of the University,  print out and complete the following form and send it with payment to

Friends of the University
The University of Newcastle
University Drive
Callaghan NSW 2308

Unfortunately, we cannot yet handle this electronically.

Title Given Names Family Name
Address
Suburb Postcode
Phone (Home) Phone (Work) Fax
e-mail address
I wish to join the Friends of the University andenclose cash/cheque for $OR

Please debit my American Express/ Bankcard/ Mastercard/ Visa for $

Number ____________ ____________ ____________ ____________       

Expiry ___/___

Signed Date

 

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