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Application Form - Suspension

Member Number *

Member First Name *

Member Surname *

Contact Telephone Number *

Email Address* *

Membership Suspension

Members may suspend their University Club Membership for a minimum of three (3) to a maximum of twelve (12) months throughout the life of the Membership. All outstanding subscription fees and food & beverage charges are required to be settled prior to the Membership being suspended. Members are also required to provide correct contact details valid for the duration of the Membership suspension. Postgraduate Members cannot suspend their Membership as it is a fixed term Membership.

Period of Suspension Required *

3 months

6 months

12 months

Start Date - Please choose end of month date that you would like your suspension to start from. *

Further comments or feedback - The University Club strives to provide excellent services and facilities to our Members and guests. All Feedback, both good and bad is important for us to achieve this goal.

Todays Date *

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Application Form - Suspension

Membership Suspension

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Application Form - Suspension

Membership Suspension