Change Your Details

Please complete and submit this form if any of your address details change. The form contains fields for all the general information the ACT holds on its members. We would be very grateful if you could fill out any fields where your information may have changed since you last informed us of your details.

Effective date of change:
(leave blank if it is effective immediately)

Salutation

First Name(s):

Family Name:

Membership No.:

Company Details

If you are unemployed or have left the company please tick here

Job Title

Area of Work

Type of Company

Industry

Company Name:

Company Office Address:

Postcode:

Country:

Office Switchboard:

Direct Office Tel:

Direct Office Fax:

Direct Office Email:

Company Turnover:

Parent Company Name:

Parent Company Listing:

(if other listed please state country)

Reporting Standard

Personal Details

Home Address:

Postcode:

Country:

Home Tel:

Home Fax:

Mobile Tel:

Home Email:

Invoicing Details

Invoice Address:

Postcode:

Country:

All correspondence should be mailed to:

Please enter your preferred Regional Group(s). If you do not enter any information in the Regional Groups field you will automatically be assigned to a Regional Group based on your office post code.

For more information about Regional Groups please go to the Regional Groups Page:

Regional Group 1:

Regional Group 2:

Members Directory

Do you want your home telephone number to be included in the Members Directory?:

Do you want to include your home email address in the Directory?:

DATA PROTECTION: The information you provide will be used only to update your details and will not be used for marketing purposes.