Infusion/ANMJ Print Edition Opt-Out

Complete and submit this form to opt-out of the print versions of Infusion and ANMJ. Please take this opportunity to also update your contact and workplace details.

• Opt-out of Infusion/ANMJ
  • 
    Please stop my mail subscription to Infusion and ANMJ

  I understand that I will no longer receive these magazines by post and that I will still have full access to both publications via the ANMF web sites.

• TitleMissMsMrsMrDrOther
• Given Names*
• Surname*
• Are you a member of the ANMF Tasmanian Branch?*
  • Yes
  • No
• Membership Number*Required for ID verification
• Date of Birth*
  

  Required for ID verification

• Email Contact*
  • I authorise ANMF to send fortnightly newsletters and occasional other news emails
  • Please email regarding my membership only

  Your preferred email is a primary method the ANMF uses to keep in touch with members. We’ll send you an informative fortnightly email newsletter as well as occasional messages about matters of interest. We will never share your email address with outside persons or organisations. PLEASE UPDATE YOUR EMAIL IF IT CHANGES.

• Preferred Email*
  
  
  Enter Email
  
  
  
  Confirm Email
  

• Mobile Phone Contact*
  • Include me in all relevant text (SMS) messages to members
  • Please SMS regarding my membership only
• Mobile Phone*
• Update Home Phone and Address*
  • Yes, I would like to update my phone and address details
  • My phone and address details are unchanged.
• Personal home phone
• Street Address (Home)*
• Suburb / Town*
• Post Code*
• This is also my postal address*
  • Yes
  • No
• PO Box or Address (postal address)
• Suburb / Town (postal address)
• Post Code (postal address)
• Update your employment details*
  • Yes, I would like to update my employment details.
  • My employment details are unchanged.
• Employer*
• Workplace*
• Ward / Area / Unit
• Work Phone
• Do you wish to add a second workplace?
  • No
  • Yes
• Employer 2
• Workplace 2
• Ward / Area / Unit 2
• Work Phone 2
• Captcha