In order to keep your details upto date, please fill in as much information as possible. Thank you.

1. MEMBERS	Your details
Title (Mandatory field)
Initials
First Name (Mandatory field)
Surname (Mandatory field)
	Tick this box if you are happy to volunteer to help at USMAA functions.
	Tick this box if you are happy to volunteer to join an USMAA subcommittee.
2. SPOUSE	Details of the spouse (leave blank if not applicable)
Title
Initials
First Name
Surname
3. HOME ADDRESS	Home address for records which is where your newsletter and any other mail from USMAA will be posted
Street Address (Mandatory field)
Suburb (Mandatory field)
State (Mandatory field)
Post Code (Mandatory field)
Home Phone (Mandatory field)
Mobile Phone (Mandatory field)
Email Address (Mandatory field)
4. BUSINESS ADDRESS	Business address for our records (leave blank if not applicable)
Street Address
Suburb
State
Post Code
Phone
5. CHILDREN	Provide the following information for each child under 18 years of age. (leave blank if not applicable)
	First Name: Surname: Gender (M/F):
(Mandatory field)	By placing a tick and submitting this form, you agree to have your details stored within the USMAA database and confirm that you are happy to receive regular USMAA notifications and announcements via email and SMS text to your mobile phone. If you wish to have your details removed from the USMAA mailing or SMS list then please contact us.