Application Form

Membership cost is $20 per annum for an individual; $25 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 and enclose cheque for $_____

OR

Please debit my  Mastercard / Visa for $______

Number ____________ ____________ ____________ ____________

Expiry ___/___

Signed Date

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