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The Club
- Our Leadership
- Work With Us
Conferences and Events
Weddings
Club Dining
Membership
What’s On
Gallery
Contact

Member Login

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UWA Staff Promotion

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Application - UWA Staff Promotion

UWA University Staff - Eligibility Criteria *

I am a current UWA Staff Member

START DATE AT UWA - Promotional offer is for new staff only *

UWA Staff Number *

Have you been a University Club Member previously? *

Yes

No

Title

First Name *

Last Name *

Preferred Name *

Telephone Number *

Email *

Date of Birth *

Street Address *

City (Suburb) *

Postcode (Zip) *

Club Account and Signing Privileges Request

Club Account Request - Members with valid payment details on file are able to charge incidental expenditures such as food and beverage purchases and member events to their Member accounts *

Yes, I would like a Club Account. (Please complete settlement details below)

No, I would not like a Club Account.

Settlement Details

Please nominate your preferred payment method. *

Direct Debit from a nominated bank account

Credit or Debit Card

Ezidebit account payment Terms and Conditions - Click Here To View

I authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID 342190, 428198) (“Ezidebit”) to debit payments from my account, at intervals and amounts by The University Club of Western Australia Pty Ltd (“The Business”)as per the Terms and Conditions of my agreement with the Business and in accordance with this Direct Debit Request and the DDR Service Agreement. *

Declaration - Terms and Conditions - Click Here To View

I have read and understand the Terms and Conditions of Membership and the information provided on this form and agree that acceptance of the Membership application implies that I accept the By-Laws and Regulations of The University Club. I also fully understand that the Membership Sub-Committee reserves the right to approve or reject my application without assigning any reasons whatsoever. *

Consent - Code of Conduct - Click Here To View

I have read and agree to The University Club of Western Australia Member's Code of Conduct as set out in the link above. *

Full Name *

Todays Date *

Submit

The Club
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The University Club of Western Australia, Hackett Drive, Crawley WA 6009. Entrance #1 - Carpark #5

+61 (8) 6488 8770

[email protected]