\documentclass[11pt]{article} % use larger type; default would be 10pt

\usepackage[utf8]{inputenc} % set input encoding (not needed with XeLaTeX)

%%% PAGE DIMENSIONS
\usepackage[margin=1.5cm]{geometry} % to change the page dimensions
\geometry{a4paper} % or letterpaper (US) or a5paper or....

\usepackage{graphicx} % support the \includegraphics command and options

%%% PACKAGES
\usepackage{booktabs} % for much better looking tables
\usepackage{array} % for better arrays (eg matrices) in maths
\usepackage{paralist} % very flexible & customisable lists (eg. enumerate/itemize, etc.)
\usepackage{verbatim} % adds environment for commenting out blocks of text & for better verbatim
\usepackage{subfig} % make it possible to include more than one captioned figure/table in a single float
% These packages are all incorporated in the memoir class to one degree or another...
\usepackage[dvipsnames]{color}
\usepackage{multirow}


\usepackage{wrapfig}


\definecolor{lightgray}{gray}{0.6}

%%% HEADERS & FOOTERS
\usepackage{fancyhdr} % This should be set AFTER setting up the page geometry
\pagestyle{fancy} % options: empty , plain , fancy
\renewcommand{\headrulewidth}{0pt} % customise the layout...

\setlength{\headsep}{2cm}

\lhead{\begin{wrapfigure}{l}{3cm}\vspace{-1.5cm}\includegraphics[width=3.5cm]{ucc-logo}\end{wrapfigure}}
% \chead{\vspace{1cm}\LARGE{\textbf{University Computer Club}}\\ \Large{{2019 Membership Form}}
\chead{\vspace{1cm}\LARGE{\textbf{University Computer Club}}\\ \Large{Semester 2 2019 Membership Form}}
\rhead{}

\lfoot{}
\cfoot{}
\rfoot{}

%%% SECTION TITLE APPEARANCE
\usepackage{sectsty}
\allsectionsfont{\sffamily\mdseries\upshape} % (See the fntguide.pdf for font help)
% (This matches ConTeXt defaults)

%%% ToC (table of contents) APPEARANCE
\usepackage[nottoc,notlof,notlot]{tocbibind} % Put the bibliography in the ToC
\usepackage[titles,subfigure]{tocloft} % Alter the style of the Table of Contents
\renewcommand{\cftsecfont}{\rmfamily\mdseries\upshape}
\renewcommand{\cftsecpagefont}{\rmfamily\mdseries\upshape} % No bold!

\usepackage{draftwatermark}
\SetWatermarkAngle{0}
\SetWatermarkText{\includegraphics[scale=1.55]{ucc-logo-watermark}}

\usepackage{multicol}
\usepackage{amsmath}
\usepackage[none]{hyphenat}
\usepackage[document]{ragged2e}

\usepackage{wasysym} % required for the checkboxes

\setlength{\parindent}{0pt}
\setlength{\parskip}{20pt}
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\bgroup
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%Fixed width aligned columns
\newcolumntype{R}[1]{>{\raggedleft\let\newline\\\arraybackslash\hspace{0pt}}m{#1}}
\newcolumntype{L}[1]{>{\raggedright\let\newline\\\arraybackslash\hspace{0pt}}m{#1}}
\newcolumntype{C}[1]{>{\centering\let\newline\\\arraybackslash\hspace{0pt}}m{#1}}

%%% END Article customizations

%%% The "real" document content comes below...

\begin{document}

\hfill \begin{tabular}{r | p{11cm} p{0cm} | }
\cline{2-3}
\multirow{2}{*}{Full Name} & & \\
 & & \\ \cline{2-3}
UCC Username & & \\
\footnotesize{For existing members.} & & \\ \cline{2-3}
\end{tabular}

\hfill Circle Membership Type \begin{tabular}{ | R{7.55cm} | C{1.5cm} | C{1.5cm} | }
\hline
 & \centering\arraybackslash Guild & \centering\arraybackslash Non Guild \\ \hline
O'Day Special & \centering\arraybackslash\multirow{2}{*}{\$5} & \multirow{2}{*}{\$10} \\
\footnotesize{First time member, UWA student and on O'Day} & & \\ \hline
Student & \centering\arraybackslash\multirow{2}{*}{\$10} & \multirow{2}{*}{\$15} \\
\footnotesize{at secondary or tertiary institution} & & \\ \hline
\multirow{2}{*}{Non Student} & \multirow{2}{*}{\$20} & \centering\arraybackslash\multirow{2}{*}{\$25} \\
& & \\ \hline
\end{tabular}

\hfill \begin{tabular}{r | C{11cm} p{0cm} | }
\cline{2-3}
Email Address & & \\
\footnotesize{Must not be an UCC email address} & & \\ \cline{2-3}
Student Number OR Other ID & & \\
\footnotesize{Please state form of ID} & & \\ \cline{2-3}
\multirow{2}{*}{Phone Number} & & \\
& & \\ \cline{2-3}
\multirow{2}{*}{Date of Birth} & \multirow{2}{*}{\textcolor{lightgray}{}} & \\
& & \\ \cline{2-3}
& Social Events \Square \hspace{0.75cm} Gaming \Square \hspace{0.75cm} Virtual Reality \Square& \\
Interests & Tech Talks \Square \hspace{0.75cm} Programming \Square \hspace{0.75cm}  Other: \verb|______________|& \\ \cline{2-3}

\end{tabular}

You, the undersigned, agree to abide by the UCC Constitution, rulings of the UCC Committee, UCC and UWA's Network Usage Guidelines and that you will be subscribed to the UCC Mailing  List.\\ Policies can be found at: www.ucc.asn.au/infobase/policies.ucc\\
\vspace{0.3cm}

\hfill \begin{tabular}{r | C{11cm} p{0cm} | }
\cline{2-3}
\multirow{2}{*}{Signed} & & \\
 & & \\ \cline{2-3}
\multirow{2}{*}{Date} & \centering\arraybackslash\multirow{2}{*}{\textcolor{lightgray}{}} & \\
 & & \\ \cline{2-3}
\end{tabular}

{\centering\textbf{\underline{Office Use Only}}\\}
\vspace{0.3cm}

\hfill \begin{tabular}{| p{11cm} | p{2cm} p{3.5cm} | }
\hline
Payment Method \footnotesize{(Circle One)} & &\\
\centering\arraybackslash CASH (O'Day only)\hspace{2cm}DISPENSE & &  \\ \hline
Authorised By & Date & \multirow{2}{*}{\textcolor{lightgray}{}} \\
\footnotesize{(TLA and Signature)} & & \\ \hline
\hline
Added to MemberDB By & Date & \multirow{2}{*}{\textcolor{lightgray}{}} \\
(\footnotesize{TLA and Signature)} & & \\ \hline
\end{tabular}


\centering{
\footnotesize{The University Computer Club Inc.\\ABN: 98 843 368 069}
}
\end{document}
