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Application - Cancellation

Member Number *

Member First Name *

Member Surname *

Telephone Number *

Email *

Reason for Cancellation *

I no longer work at UWA

I am no longer located on campus

Financial

I am not using the Club

Health/Age

I do not see the value of Membership

I am unhappy with services/facilities provided (we welcome your comments in the feedback section below)

Further comments or feedback - The University Club strives to provide excellent services and facilities to our Members and guests. All Feedback, positive or where we can improve is important for us to achieve this goal.

Todays Date *

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