Application for Membership

Membership cost is $10 per annum for an individual; $15 per annum for a household.

To join the Friends of the University, print out and complete the following form and send it with payment to

Friends of the University
The University of Newcastle
University Drive
Callaghan NSW 2308

Unfortunately, we cannot yet handle this electronically.

Title	Given Names		Family Name
Address
Suburb						Postcode
Phone (Home)		Phone (Work)			Fax
e-mail address
I wish to join the Friends of the University and enclose cash/cheque for $ OR Please debit my American Express/ Bankcard/ Mastercard/ Visa for $ Number ____________ ____________ ____________ ____________ Expiry ___/___
Signed				Date