Online Application for Membership for Life

Superannuant

Preferred Title: Initials:

Surname:

Partner/Spouse

Preferred Title: Initials:

Surname:

Renewal

Membership Application

No change to details (renewing members only; can leave Contact Details blank)

Postal Address /
PO Box No:

Address Line 2
(optional):

Suburb / Town: State:Post Code:

Email Address:

Phone No: (0 ) Mobile No:

Please tick the appropriate payment options to calculate a total:

Single or Couple ($120.00)

For Widow or Widower of Superannuant ($80.00)

Optional Donation: $

Calculated Total:

Payment Method

Direct Deposit (BSB: 807-009 ; Account Number: 30137067)

Please make sure you give your surname and given name(s) or initial(s) when you make the deposit.

You may choose to have the SuperNews quarterly magazine emailed to you

I would like to receive SuperNews via email

How did you find out about TASS?

(optional)