www.membersequity.com.au
CHANGE OF DETAILS Please print this form, enter your new details and forward to AMIEU Tas Branch PO Box 649 Kings Meadows Tas 7249 Or alternatively email us on amieutas@bigpond.com CHANGE OF STATUS FORM Surname ......................... Given Names ........................ Membership No ........................ New Address ........................ ........................ Phone No: ............... Email address ........................ Employer ........................ Location/store ........................ New Bank details BSB No .........................Account No......................
CHANGE OF DETAILS
Please print this form, enter your new details and forward to
AMIEU Tas Branch
PO Box 649
Kings Meadows Tas 7249
Or alternatively email us on
amieutas@bigpond.com
Surname .........................
Given Names ........................
Membership No ........................
New Address ........................
........................
Phone No: ...............
Email address ........................
Employer ........................
Location/store ........................
New Bank details BSB No .........................Account No......................