OFFICE USE ONLY
Membership Number: ____________________ Staff Name: ____________________
Membership commencing on ____________________ and expiring on ____________________
Please note: In accordance with Spectrum’s direct debit agreement, memberships paid by direct debit are ongoing and do not expire without direct cancellation. Please consult your direct debit agreement and member policies for more information on cancellations.
Fee payable on sign-up: $___________ Method of Payment: ____________________