AMIEU Tasmanian Branch

237 Wellington St
Launceston  Tas  7250

PO Box 649
Kings Meadows Tas 7249

Ph: (03) 6331 7233
Fax: (03) 6331 8633

Email:  amieutas@bigpond.com

If you have changed your details, download and print out a change of status form to send to the branch or fill in this form and click Submit.

This form sends an email to the Branch Office.  To fill in this form you must answer every question marked with * and then click the Submit button.

 

Your Name (required)

Your Email

Your Membership Number (Please provide your membership number if you can)

Your Date of Birth (required)

Home Phone (Your home phone is optional but please provide at least one contact number)

Mobile (Your mobile number is optional)

Your New Address (please provide your new address)

Your Old Address

New Bank BSB

New Bank Account Number

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