Club Information
Club Name: *
Club Abbreviation: *
Club Website:
Club Description:
Club Postal Address: *
Would like to be part of Supreme Club Competition?: *	Yes     No
Is this an incorporated society?: *	Yes     No
Does your club require a noticeboard in the UCSA foyer?:	Yes     No
Does your club require a pigeon hole in the UCSA Club Rooms?: *	Yes     No
Was your club affiliated in 2007?: *	Yes     No

Committee Contacts
Presidents Details
Name: *		Student Email: *
Term Address: *
Tel (hm): *		Tel (wk):
(Cell):		ID No.:
Secretary Details
Name: *		Student Email:
Term Address:
Tel (hm):		Tel (wk):
(Cell):		ID No.:
Treasurer Details
Name:		Student Email:
Term Address:
Tel (hm):		Tel (wk):
(Cell):		ID No.:
* These contacts will be published on the UCSA website and will be issued to any members of the public that enquire information about the club. Note: All Club Officers, affiliated to the University of Canterbury Students' Association Inc. are subject to UCSA Inc. disciplinary regulations.

Membership Details
Note: UC Student membership must be 50% of total club membership Membership Numbers
Student Non-student Totals Female * * * Male * * * Total * *
Membership Fees
UC Student Non-student Full Member * * Social * *
Date of your last AGM: *
Date of your next AGM: *
Note: All AGMs must be advertised on the clubs noticeboard no less that SEVEN DAYS prior to the meeting

Bank Accounts
- All clubs MUST operate a club bank account for all club finances. (If you don't have a Club Bank Account please contact the CDO)
Bank Name: *
Bank Branch:
Club Account Name: *
Club Account Number: *
Account Signatories
Signatory 1. Name: *
Signatory 1. Position: *
Date: *
Signatory 2. Name:
Signatory 2. Position:
Date:
Signatory 3. Name:
Signatory 3. Position:
Date:

Other Information
Affiliation to other bodies (e.g. International, National, Regional, etc):
Gear Storage (state where all club gear is stored):
Madcap Judge (for performing arts clubs only):
Email:
Phone:
I have read and agreed to all terms and conditions. Type ACCEPT in the box to proceed: *

Supporting Documentation
Compulsory Documentation
Membership Register: *
Club Constitution: *
Club Budget: *
Non Compulsory Documentation (this documentation will need to be supplied before the application is considered)
Club Assets Register:
Previous Year Accounts:
Check all Details and Submit Your Application