University House
The University of Melbourne

Associate Membership Application Form

Associate Membership is available for former university staff. The subscription fee is $300 annually. For other members click here.

Membership Type*

Your Name*

Date of Birth

Please fill out this field so that we may issue you with a birthday reward.

Residential Address*

Phone Number*

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Email Address*

How did you hear about the Club?

Have you visited University House before?

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