Membership Renewal

Membership Renewal
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

SuburbState / Province

Postal / Zip Code
Phone Number*
E-mail*
Membership
Please note that membership is due on the 1st of January and is valid until the 31st of December. Your membership must be current to hire equipment from the Club and to dive on the UEC boat.

Further enquires about membership renewal please contact info@mud.org.au
Membership Prices*
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Staff$40.00AUD

Student$40.00AUD

Alumni$40.00AUD

External Membership$60.00AUD
Further Comments
Certification Details
Are you a qualified diver ?*

YesNo
Certification Number*
Level of Qualification*
Club Information
I would like to receive regular emails and event updates from Murdoch Diver's Club*

Yes pleaseNo thank you
Payment
The prefered method of payment is by bank transfer. Cash payments may be arranged by contacting the treasurer at info@mud.org.au

Bank Transfer Details:

Name: Mur. Uni. Divers Club (WA) inc

BSB: 806-036

Account: 603608941

Please state 'Membership Renewal' in the description
Declaration
View the Murdoch University Diving Club Constitution

View Murdoch University Diving Club's Safety Regulations
I have read and agree to abide by the Club's safety regulations at all times as set out by the Club's constitution.
Date

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