Title
MrsMsMr
First name
Last name
Gender
MaleFemale
Date of birth
State
New South WalesWestern AustraliaVictoriaAustralian Capital TerritoryNorthern TerritoryTasmaniaQueenslandSouth Australia
Town/City
Postcode
University Attending
—Please choose an option—Australian National UniversityUniversity of CanberraAustralian Catholic UniversityCharles Sturt UniversityMacquarie UniversitySouthern Cross UniversityUniversity of New EnglandUniversity of New South WalesUniversity of NewcastleUniversity of SydneyUniversity of Technology, SydneyWestern Sydney UniversityUniversity of WollongongCharles Darwin UniversityBond UniversityCQ UniversityFederation University of AustraliaGriffith UniversityJames Cook UniversityQueensland University of TechnologyUniversity of QueenslandUniversity of Southern QueenslandUniversity of the Sunshine CoastCarnegie Mellon UniversityFlinders UniversityTorrens University AustraliaUniversity of AdelaideUniversity of South AustraliaUniversity of TasmaniaDeakin UniversityFederation University of AustraliaLa Trobe UniversityMonash UniversityRMIT UniversitySwinburne University of TechnologyUniversity of DivinityUniversity of MelbourneVictoria UniversityCurtin UniversityEdith Cowan UniversityMurdoch UniversityUniversity of Notre Dame AustraliaUniversity of Western Australia
This is so that we can get you in contact with your campus Liberal Club.
Phone number
Email address
I agree to be contacted by the ALSF and my relevant campus Liberal Club.
Authorised by Blake Keating, Australian Liberal Students’ Federation, 59 Blackall Street, Barton ACT 2600
