Club Voucher Lodgement Form

We'll reimburse your club $5 for each voucher you return to us, straight into your club bank account. Most reimbursements take no longer than three weeks to arrive in your account.

Please note that we will use the bank account as provided on your Tidy HQ, so make sure you update us if anything has changed. If you've given us the wrong bank details, we are unable to reissue any lost funds.

Club name:*

Please provide full name and avoid acronyms

Club Email*

Central club email address.

Your Name*

Preferred NameLast Name

Your role within the club:*

Example: President, Secretary, Treasurer

Your student ID:*

Your 8 digit Curtin Student ID number.

Phone Number*

Please enter a valid phone number.

Number of vouchers lodged:*

Please check all expiry dates. Expired vouchers (i.e. from previous years) will not be accepted.

Lodgement Method:*

In person at Guild Reception (labelled envelope).Sent via post.

Please specify the date these were lodged at reception/sent in the post:*

Date

Terms and Conditions

I hereby verify that all of the information provided in this form is true and accurate. I further verify that each voucher submitted in this lodgement envelope has been completed in full by a Curtin student who has joined our club. Club vouchers will be re-counted by the Club Officer prior to payment being made. In the case of any discrepancy between the number of vouchers nominated above and the number of vouchers counted by the Club Officer, the Club Officer’s count is final. I acknowledge that reimbursement funds will be paid by the Guild via direct transfer into the club’s bank account within approximately 1 -3 weeks, using the bank details provided in the club’s annual renewal / registration with the Guild this year. I accept that no repayments will be made should these bank details be incorrect or outdated, and understand that it is the club’s responsibility to notify the Club Officer immediately in writing (via email) should the club’s bank details have changed at any time throughout the year.

Do you accept the above club voucher lodgement terms and conditions?*

I accept and acknowledge the lodgement conditions outlined above.