Update Your Membership Details

Change of Details
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Member Number
Salutation			Mr. Ms. Mrs.
First Name
Last Name
Initials
Date of Birth
Next of Kin
OLD DETAILS PERSONAL			NEW DETAILS PERSONAL
Street Address
City / Town
Postcode
Phone
Mobile
Fax
State		Western Australia South Australia Northern Territory Queensland New South Wales Victoria Tasmania	Western Australia South Australia Northern Territory Queensland New South Wales Victoria Tasmania
E-Mail
Bank Account Changes			Please Tick
For Security Reasons, we will contact you if your banking details have changed
OLD DETAILS WORK RELATED			NEW DETAILS WORK RELATED
Classification
Employer
Work Site

Your information will be kept strictly confidential and will not be passed on to any other organisation
or used for any other reasons other than for the purposes of the AWU WA Branch.