Health and Community Services Union

11 December 2008

If you would like to update your Direct Debit Details, please download our direct debit form and service agreement for existing members, fill it out and send it to PO Box 206, Carlton, VIC, 3053.

Non Members Policy

If you're an existing HACSU member and want to update your details, you can do so on the form over the page.

Please provide full name as it appears on your Tax Return

Membership Number
Title
Last Name:
Given Names:
Preferred Given Name:
Date of Birth:
Home Address:

Suburb / Town:
Post Code:
Phone (Home):
Phone (Work):
Phone (Mobile):
E-mail Address [home]:
E-mail Address [work]:
Name of Employer:
Employer Address:

Suburb / Town:
Post Code:
Employer Phone:
Employer Fax:
Job Classification & Level (RPN 3; SOC2; DDSOC2, etc):
Hours:	(if part time) specify hours: hrs per fortnight

Please enter the text from the image for verification purposes:

I wish to become a member of the Health and Community Services Union, please send me the application forms: