It’s simple to become a Velocity member – just complete the enrolment form below:

• You will receive your membership number immediately and your Velocity Membership card will be sent to you in the mail.

Personal Information

Title *	-- Mr Mstr Mrs Ms Miss Dr
	Male Female
First Name *
Preferred First Name
Last Name *

First and Last Name must match passport.

Contact Information

  Preferred Postal Address

Country *	Select Country Australia Christmas Island Cocos Islands Cook Islands Fiji New Zealand Papua New Guinea Samoa Solomon Islands Tonga Vanuatu You must be a resident of the countries listed to join Velocity
Home Address *
Suburb/Town *
State*	---Select State--- ACT NSW NT QLD SA TAS VIC WA
Postcode *	Australian and NZ residents only

Do you want to provide your Business Address?

Business Address

  Preferred Postal Address

Company *
Job Title
Country *	Select Country Australia Christmas Island Cocos Islands Cook Islands Fiji New Zealand Papua New Guinea Samoa Solomon Islands Tonga Vanuatu
Company Address *
Suburb/Town *
State *	Select State ACT NSW NT QLD SA TAS VIC WA Australian residents only
Postcode *	Australian and NZ residents only

Telephone

You must provide at least one phone number *
Phone
Mobile
Mobile offers	Yes, I'd like to receive Velocity special offers via SMS/MMS

E-mail

Make sure you correctly enter your email address, as this will be your key to receiving great offers from Velocity and its Partners.

E-mail address *
Re-enter E-mail address *

Security Information

Date of Birth *

-- 01020304050607080910111213141516171819202122232425262728293031 ---JanFebMarAprMayJunJulAugSepOctNovDec ---- 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

Password *		for use on the Velocity website
Re-enter Password *
Security Question *	What was the name of the first school you attended? What is your mother's maiden name? What was the make of your first car? What is your grandmother's first name? Who is your favourite sporting team? What is the country of your dream holiday? What is the name of the first street you lived on? What was your first pet's name ?
Security Answer *

Other Information

What other airline loyalty program do you belong to ?	Air New Zealand Airpoints Cathay Pacific Asia Miles Delta SkyMiles Emirates Skywards Etihad Guest Malaysia Airlines Enrich Qantas Frequent Flyer Singapore Airlines KrisFlyer Virgin America Elevate Virgin Atlantic Flying Club
Promo code

Terms & Conditions

I have read and agree to be bound by the Terms & Conditions and declare that the details that I have provided in relation to this Velocity Membership application are true and correct. If the application is for membership of a person under 18 years of age, I declare that I am the parent or legal guardian of the applicant.

I request to receive a Velocity Frequent Flyer membership card with Global Wallet™ functionality if I am eligible, which can be used as a Visa Prepaid card* and I agree to receiving disclosures about the Global Wallet™ online. The Product Disclosure Statement and Financial Services Guide for the Global Wallet is available online. Further information on how to activate the Global Wallet™ feature will be sent to you with your card.

By joining Velocity Frequent Flyer you consent to Velocity sending you a monthly E-Statement with your Points Balance update, Velocity Exclusives, Virgin Australia Updates, Travel Partner Offers, Other Partner Offers, Member Updates and Market Research.

You may unsubscribe from these communications at any time by either amending your My Preferences found in My Account or by clicking the unsubscribe link provided on the communications.

* To use the Global Wallet™ functionality on your Velocity membership card, the Global Wallet™ must first be activated. Terms and conditions and fees and charges will apply to use of the Global Wallet™. Not all Velocity Frequent Flyer members are eligible to receive a membership card with Global Wallet functionality. If you are not eligible to receive a membership card with Global Wallet functionality, you will receive a standard Velocity Frequent Flyer membership card. You are able to opt out of receiving a membership card with Global Wallet™ functionality at any time by visiting My Benefits in your Velocity Account, checking the opt out box and clicking submit.

Velocity Rewards Pty Ltd ACN 116 089 448 acts as authorised representative of Rev Australia Pty Ltd ACN 117 378 953 AFSL 401610 as distributor of the Velocity Global Wallet prepaid Visa product. Rev Australia Pty Ltd manages the Velocity Global Wallet prepaid Visa product for Cuscal Limited ACN 087 822 455 AFSL 244116. Cuscal is the product issuer of the product. Any advice is general advice that does not take account of your objectives, financial situation or needs, so you should consider whether the product is suitable for you before acquiring or activating it. A Product Disclosure Statement (PDS) is available at www.velocityfrequentflyer.com/globalwallet. You should consider the PDS in making any decision about whether to acquire, activate or keep the Velocity Global Wallet prepaid Visa product. The product is available only to Australian resident Velocity Frequent Flyer members.

The issuer is Velocity Rewards Pty Ltd ACN 116 089 448 (as trustee of the Loyalty Trust) at 56 Edmondstone Road, Bowen Hills, QLD 4006.