Global Utilities


Friends of WoW


Please ensure you have registered and then emailed w.mcguiness@latrobe.edu.au indicating which membership type you are applying for prior to making payment.

 
Title
Surname:
First name:
Email:
Telephone:

Membership type:

Postal address:
Suburb:
Postcode:
 

Clinical Friend ($200)
Corporate Friend (negotiated amount)
Client Friend ($20)
Amount: