mbrform.htm

FESR APPLICATION / RENEWAL / UPDATE FORM
No payment is necessary if selected as a Update form.
*Please note that all fields marked with a are mandatory.**
	State Division	NSW-ACT QLD SA-NT VIC-TAS *
	Application - Renewal - Update	Application Renewal Update (Select Update if updating database details only) *
	Given Names	*
	Surname	*
	Date of Birth	*
	Service Number	*
	Postal Address	*
	Tel No	Please supply your Tel no for urgent or emergency contact.
	Mob No	Please supply your Mob no for urgent or emergency contact.
	Fax No	Optional
	Email	*
	Spouse Partner Names
	Date of Birth Spouse	Month only if you wish for Birthday Listing
	Period, Branch and Rate/Rank	*
	Awards, Medals, Ships and Bases.	*
	During the term of my membership I agree to be bound by the rules of the Association as they may be or as they are implemented from time to time. Annual Subscription $25 dollars includes partner renewed 31st December each year. If ticked as Update Form then DO NOT send any payment. If this is a new Application then DO NOT send payment until approval granted and a request for payment is received with details of where to send your payment.	Yes No *
	Comments and/or Suggestions (Optional)
	Date of Submission	* (Please enter date of Form submission)
Click to send form Click to clear form

Please ensure you have completed all mandatory fields before clicking "Submit Form". If you wish to reset the form to re-enter all then click the "Reset Form" button