AMWU - JOIN NOW

membership

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Please fill out the form below.

First Name*
Surname*
Other Name
Address Line 1*
Address Line 2
Town*
Postcode*
Gender*	MaleFemale
Date of Birth*
Preferred Phone Contact*
Alternate Phone Contact (Do not put a work number if you do not wish to be contacted at work)
Email* (we will never use your email address for unsolicited email)
Occupation*
Payroll Number
Country of Birth*
In what industry do you work?*
On what regular basis are you employed?*
What is your weekly wage?*
I am an Aboriginal or Torres Strait Islander
Preferred Language
Employer*
Workplace Address Line 1*
Workplace Address Line 2
Workplace Postcode*
Apprentice Start Date
Apprentice Completion Date
	*Required fields

I certify to the correctness of the answers given on this form. If admitted to the Union, I am prepared to abide by the Rules and any alterations made in accordance with the Rules. I acknowledge that should I wish to resign from the Union I must do so by writing to the State Secretary.

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