MEMBERSHIP CONTACT UPDATE

Use this form at any time to let us know any CHANGES to your contact details ONLY IF you are a CURRENT or RECENT (previous 2 years) Financial or Honorary member of LMU3A.

THIS FORM CANNOT REGISTER NEW MEMBERS
New Member Application can be made at goo.gl/forms/pukZv7jcAwlDwAx33
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MEMBERSHIP
It is MANDATORY to provide your NAME AND SUBURB. Please double check your entries.
Name and Suburb (mandatory):
Enter exactly as CURRENTLY HELD in our records (see your last Enrolment email or Confirmation Letter)
First Name *
Your answer
Last Name *
Your answer
Suburb *
Enter ONLY the FULL Australia Post SUBURB name; e.g., Toronto, Mount Hutton, Fishing Point (Of the Street Address OR PO Box we have in our records - DO NOT enter here any street or PO address or Postcode - ONLY the full SUBURB name as you've previously given for our records)
Your answer
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