Join Online - AEU Tasmanian Branch

1. Personal Details

Name*

First Name Middle Name Last Name Preferred Name

Birthdate*

Gender*

Are you of Aboriginal or Torres Strait Islander descent?

No
Yes

Address*

Address Address Line 2 Suburb State Postcode

Mobile number*

Home phone

Primary Email Address*

Secondary Email Address

Preferred contact method

Email
Phone
Mail

2. Membership type

Membership type*

Member
Relief

3. Employment Details

Primary Workplace Name*

Primary Position name*

Employment Status at primary workplace?*

FTE at primary workplace*

Eg: 5 days per fortnight is 50, full time is 100.

Do you work in more than one workplace?*

Yes
No

Other Workplace Name*

Other Position name

Employment Status at other workplace?*

FTE at other workplace*

Eg: 5 days per fortnight is 50, full time is 100.

Do you have more than two workplaces/positions?*

Yes
No

Once you have joined we will be in contact with you to make sure we have your extra details on record.

Payment Details

Please select your payment type

Direct Debit
Credit Card

Please select your payment frequency*

Fortnightly
Monthly

Promoted

Please select you annual salary*

Teaching

Please select you annual salary*

Relief

Please select you annual salary*

Non_Teaching

Please select you annual salary

Salary Range

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Do you agree to the Membership Terms and Conditions?*

Yes
No

Name

This field is for validation purposes and should be left unchanged.

Join the AEU online

1. Personal Details

2. Membership type

3. Employment Details

Payment Details

Promoted

Teaching

Relief

Non_Teaching

Resources and further information

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