First name:
Surname:
Email address:
Mobile number:
Course:
Year level:
Student number:
Union member?	Yes: No:
Payment:	I have transferred my membership fee to the MUDS bank account (details below): Yes: No: I have emailed my payment receipt to MUDS: Yes: No:

Bank details

Account Name: Melbourne University Debating Society
Bank: NAB
BSB: 083 457
Account Number: 51 757 4963
If bank transfer is not possible, please email us regarding alternative payment options.