Change of Details for Members

Effective date of change: (leave blank if it is effective immediately)
Title: *
First Name: *
Family Name: *
Preferred Name (if different from First Name):
Date of birth (dd/mm/yy):
Membership Number:
Business Details
If you are unemployed or have left the company please tick here
Job Title *
Industry
Company Name:
Address 1:
Address 2:
Address 3:
Postcode:
Country:
Direct Business number:
Business Fax Number:
Business Mobile Number:
Business Email:
Personal Details
Home address
Address 1:
Address 2:
Address 3:
Postcode:
Country:
Home Telephone Number:
Home Fax Number:
Mobile Tel:
Home Email:
Preferred Postal Mailing Address:
Preferred E-Mail Address:
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.
Regional Group 1:
Regional Group 2:
Members Directory
Members details (not including students) appear in our secure online Members Directory, which is only accessible by other members of the ACT. Your business details will be included by default, but you can also include any or all of the below by ticking the relevant box:
Do you want your Business mobile telephone number to be included in the 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 Members Directory?:
If you do not want an entry included in our Member Directory, please tick here:
DATA PROTECTION: The ACT is committed to protecting your privacy. The information you provide will be used to keep your membership record up-to-date. For further information, please refer to the ACT’s Privacy Policy at http://www.treasurers.org/termsandconditions/privacypolicy.

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Change of Details for Members