Become a vip


PLEASE READ THIS LINK CAREFULLY BEFORE SIGNING >

 

PLEASE DEPOSIT THE $10 FEE TO:
Your bank will have “pay anyone” or “direct deposit” facilities through web banking

 

Universal Bar Direct Debit Payment Info

National Australia Bank

BSB: 086 089

AC: 622119524

 

 

Please fill out the form below to complete your application

 

 

Date
Name
Postal Address
Date of Birth
Drivers license number
Preferred Contact
Email
How did you hear about the VIP membership
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