Become A WITSA Member

To sign up simply download the form here and pop into WITSA or alternatively contact us by phoning 07 346 8856 or fill in your details below and we will contact you shortly.

Name:	*
E-mail:	*
Student ID Card Number:
Cell Phone Number:
Length of Course:
Location (which Campus you study at):
Date of Birth (dd/mm/yy):
Male:	Female:
Domestic:	International:
Citizenship (Please state):
Fees are $40.00 (includes GST) payable to WTSA (office M Block) (Fees can be claimed as course relate costs via study link)
Payment Method (tick one)
Cash:
Internet Banking:
Layby:
$10 deposit, membership will only be activated when paid in full

Important: if you are not over 18 you must have parent or guardian agree to the terms
I Am Over 18 Years:
I Am Under 18 Years & Have Parent/Guardian Approval:

	* Required