Join Email List

sign up to our email list


Signing up to our email list

If you want to be kept up to date with what's happening at CU, then submit your details here
Please note:

  • Filling out this form does not commit you to membership
  • Any information will only be used by our club and will not be passed on
  • You may request to not be contacted by us again at any time.


First Name Last Name Gender
Street Address
Suburb Postcode State Country
Email
Mobile Home Phone
Course Year started uni
Campus International Student
Clayton
Berwick
Caulfield
Gippsland
Peninsula
Parkville
Non Monash Student
True False
Residential Student Postgrad or Staff Member
True False True False

What is the text in this image?