Join – Ambulance Employees Australia

1/5 Let's get started with the basics:
Your first name*
Your last name*
Your email address*
Your mobile number*
Privacy*
- I agree to the privacy policy.

2/5 Tell us about your work & your workplace
Your job role*
Your employment type*
Please select your role and employment type. Part time work is less than 25hrs/week. This will be used to calculate your union dues.
Who is your employer?*
Department/branch/worksite*
Is there anything you'd like us to know about your work?
- Is there anything you'd like us to know about your work?
Share it here.

3/5 Let's get to know you a little better
What is your preferred language? **
Languages you speak (please list)
Do you identify as Aboriginal or Torres Strait Islander? **
Your gender **
Date of birth (DD/MM/YYYY)*
Date Format: DD slash MM slash YYYY
Ever been a Union member before? **

4/5 How can we keep in touch with you?
Address*
Street address Suburb State/Territory Postcode

5/5 Last step - let's set up your payment details
You can only select direct debit payment options online. To set up a credit card payment, please call us on 03 9287 1713
Your weekly union dues are:
$ 0.00
Dues are yearly for Students and Retired members.
I will pay my membership fees:*
Your bank account will be charged the above weekly rate at the frequency you request. So if you selected 'Yearly' you will be charged the above rate multiplied by 52.
Date to begin payments*
Date Format: DD slash MM slash YYYY
Your preferred payment method:*
These details will be used for all recurring payments.
Account name*
BSB*
Account Number*
Signature*
I authorise the United Workers Union (APCA User ID Number 604133) to debit/charge funds from my nominated bank account or bank account provided by my employer as authorised above at the intervals specified below. This authorisation includes where changes to that account/institution occur, and is in force until I give further notice in writing. I acknowledge that I have been informed of my fee amount and that the Union’s fees may be revised from time to time. This authority shall stand in respect of the above specified account/card and in respect to any card issued to me in renewal or replacement thereof, until I notify the Union in writing of its cancellation.
Membership application rules*
- I apply for membership of the United Workers Union and declare the information provided is true and correct. I agree that if admitted as a member, I will abide by the Rules of the Union. I authorise the United Workers Union to act on my behalf with my employer. I acknowledge that the membership fee may be adjusted from time to time.
Membership agreement*
- I have read the membership agreement.
meta*
Phone
This field is for validation purposes and should be left unchanged.

Join your Ambulance union

Step 1 of 5 - Let

1/5 Let's get started with the basics:

2/5 Tell us about your work & your workplace

3/5 Let's get to know you a little better

4/5 How can we keep in touch with you?

5/5 Last step - let's set up your payment details