Branch Transfer Request Form

Branch Transfer Request Form
Member Details
First Name
Last Name
SSAA Membership number
example@example.com
SSAA Membership expiry date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Mobile Number
Please enter a valid phone number.Format: 0400 000 000.
Email address
Transfer details

Please transfer my SSAA Membership
FROM BRANCH
The Branch you are CURRENTLY allocated to
TO BRANCH
The Branch you wish to move to
Reason for transfer request
Please specify
Signature
- An updated SSAA Membership Card will be sent to your registered postal address.
- Branch transfers require the approval of the Branch Committee before being actioned and as such, may take up to three months to complete.
Please note: Changes of contact details, including address, must be made via the National Membership Office -
Website: membership.ssaa.org.au/forms/change
Email: membership@ssaa.org.au
Phone: 02 8805 3900
Should be Empty:

Transfer details