Club Account Request Form

Club Account request form

CLUB ACCOUNT - Signing Privileges and Settlement details

The University Club provides a credit facility and signing privileges for all Members to charge food and beverage expenditure to their Club Account. It is mandatory that all Members provide The Club with details of a credit card or direct debit so charges can be automatically debited from this nominated account. If you choose to pay your subscription by credit card or direct debit, then this account will also be used for payment of incidental charges.
Name(Required)

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 the Member account. *

Settlement Details

Incidental expenditure charges are paid monthly on or about the 20th of each month, by automatic direct debit
Please nominate your preferred payment method. *(Required)
Please provide your preferred payment method. If you wish to pay via a credit or debit card please do not provide details in this form. We will contact you to confirm card details in person.
Consent(Required)
Name(Required)
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