Application for UQ Alumni Membership
ABN 63 942 912 684
Fields marked * are compulsory
Title
(Mr,Mrs,Ms,Dr,etc.)
Last Name *
First Name and other initials *
Date of Birth *
As required by the Broadcasting Services Act
Home Address *
Email Address *
Previous UQ Student Number
UQ Awards
(eg. BSc, DipEd, MA)
and year(s)
Phone No. *
Home and/or
Work and/or
Mobile
I graduated from UQ in ............... [year] with an award of ....................................................
I agree to abide by the
Library Conditions of Use
I have read the list of services available to
UQ Alumni
, including databases, and I am aware of my entitlements
Signature
_________________________
Date
_________________
Please hand the form in at:
any branch library
or
Send to:
Circulation
Information Access Service
Duhig Building
The University of Queensland Library
St Lucia 4072
You will be advised by email when your library card is available for pickup from the Loans Desk at the Social Sciences & Humanities Library. Please note that photo ID and proof of address must be presented at time of collection.
Fee
1 year
$140.00 (GST incl.) or
6 months
$90.00 (GST incl.)
Payment method
Fee must accompany application
Cheque
AUD$ Bank Draft
Payable to: The University of Queensland Library
Eftpos
Visa
Mastercard
Cardholder Name
Cardholder Number
Expiry date
