* Required Fields
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First Name |
* |
Last Name |
* |
Student Identification Number |
* for staff registrations, please add two zeroes after staff number |
Preferred Email Address |
* |
Other Email Address |
|
Password |
* |
Password Confirmation |
* |
Delivery Address Details: |
Street Number/Name |
* |
Town/Suburb |
* |
Postcode |
* |
State |
* |
Country |
* |
Note: We will not deliver to PO Box addresses as deliveries require a signature of receipt. |
Billing Address Details: (if different from Delivery Address) |
Street Number/Name |
|
Town/Suburb |
|
Postcode |
|
State |
|
Country |
|
|
|
Primary contact phone number |
* |
Other contact phone number 1 |
|
Other contact phone number 2 |
|
I have read and agree to the University of Sydney e store Terms and Conditions * |
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