UQDSA 2019 Membership Registration
Hello,


The following is a form used to apply for membership to the University of Queensland Dental Students Association.

The applicable membership fee depends on what year level of your study program you are currently in:
- Year 1: $100
- Year 2: $90
- Year 3: $70
- Year 4: $50
- Year 5: $30

Membership fees will provide either:
- five years of membership starting from 01 January of the year you sign up; or,
- until you graduate from the BDSc (Hons) Program, DClinDent, or other tertiary program you are currently enrolled in.
The applicable membership period will depend on whichever comes first.

Membership fees and conditions are subject to change without notice.

Membership will grant you many benefits, including:
- EXCLUSIVE discounts to events and freebies
- Professional talks and opportunities
- Access to social, sport and academic events
- BULK PRICES for Hogies safety glasses, other merchandise and First Aid/CPR courses
- Much more!

Membership applications cannot be accepted until your membership fee has been received. Please make an Electronic Funds Transfer to:

Name: Society Cheque Acct
BSB: 064 001
Account No.: 1120 3639
Description: MMBR [YOUR LAST NAME]

If you prefer to pay in cash, please contact treasurer@uqdsa.org.au to make arrangements.

Once your membership has been approved, you will be contacted to collect a Goodie Bag and Membership card by Week 3, Semester 1 2019.

If you have any questions, please email secretary@uqdsa.org.au. Thank you.


Regards,

Richard Huynh
Secretary
UQDSA

Surname *
For example: 'Smith'
First/Middle Names *
For example: 'Johnathan Young'
Preferred Name (if applicable)
For example: 'John'
Year Level in BDSc (Hons) Program 2019 *
Student Number *
Use the 8 numeral code and NOT the code starting with 's'.
Enrollment Type *
Email *
Phone Number *
Please upload a screenshot of the membership fee being transferred to UQDSA. *
Max file size is 1MB. PDF or JPEG formats preferred. Your membership application will not be processed until receipt of your membership fee is complete.
Required
What is the most important way UQDSA can benefit your student life? *
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