EGRU Membership Application- Credit Card

Use this form to apply for EGRU Membership and pay membership fees by credit card.

See Membership Levels and Benefits to identify your preferred investment option.

» Part 1 - Membership Profile and Level

Required fields are marked with an asterisk.

Please select *
Member Information
e.g. Mr, Mrs, Dr, Professor, Sir
This email address will be used for correspondence and EGRU email updates
Mobile or cell preferred. Please include area code if providing a landline.
Please provide name in full, no acronyms
Billing address preferred
If applicable
e.g. 4810
e.g. Queensland
As a member you will receive email communication from EGRU.
You may provide additional email addresses for our mailing list here.
What EGRU Services are of particular interest to you? * Choose one or more options
Are you JCU Alumni?
Membership Level and Investment
Please select your level of membership *

Please review the information you have provided before submitting Part 1.

Your payment via credit card will be processed during Part 2 of the application process.