Please tell us about yourself

Title

Given Names*

Surname*

Are you a member of the ANMF Tasmanian Branch?*

Yes
No

Membership Number*

Date of Birth*

Required for ID verification

Email Contact*

I authorise ANMF to send fortnightly newsletters and occasional other news emails
Please email regarding membership matters 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*

I authorise ANMF to contact me and to send occasional text (SMS) messages
Please SMS regarding membership matters 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.

Home Phone

Street Address (Home)*

Suburb / Town*

Post Code*

This is also my postal address*

Yes
No

PO Box or Address

Suburb / Town

Post Code

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

Workplace

Ward / Area / Unit

Work Phone

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Update Contact and Workplace Details

Please tell us about yourself

Cultivating Positive Culture – Launceston

Wound Care – Launceston