SSAA Membership Portal - SSAA Change of Details

SSAA Change of Details

Please fill in the form below and hit the submit button. On completion, an email will be sent to SSAA Memberships where it will be confirmed and applied to your membership record.

All membership changes are protected by a 256bit SSL Certificate.

Please Note: The SSAA considers the security of your personal information an issue of the highest priority. With that being said, the SSAA holds no online membership information that could be used to link your existing membership to a change of details as a live service.

Identifying Information
Membership Number:
Supplying a membership number will help National Membership Office process your details
Email Address*:
Yes, I want to receive the FREE SSAA National E-Newsletter via email
Title *:
First Name *:
Middle Name:
Last Name *:
Date of Birth *:
Note: Please provide the details in the appropriate fields below that have changed.
SSAA State/Territory:
SSAA Branch/Club:
Residential Address:
Town/Suburb:
State: Postcode:
State/Province: Country:
Postal same as Residential
Postal Address:
Town/Suburb:
State: Postcode:
State/Province: Country:
Phone (Home): (Work):
(Mobile): (Fax):
Comments:
Captcha:
Enter Code:

SSAA Change of Details

Identifying Information