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Application - UWA Staff Cafe Access

Title *

First Name *

Last Name *

UWA Staff Number *

UWA School/Faculty *

Email *

CLICK HERE to read our Code of Conduct

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

Would you like to receive the occasional news, information or promotional offers from The Club?

Yes, plese keep me up to date!

Todays Date *

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