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Join the CPSU/CSA

Joining the CPSU/CSA is easy - simply fill in your details in our smartform below.
Note: fields marked with a red asterisk are required.

Personal Details
* Title:
* First Name:
Preferred Name:
* Last Name:
 Birth Date:   (dd/mm/yyyy) * Gender:   Culture / Heritage:  
* Reason for joining:  
Effective Dates
* Join Date:  (dd/mm/yyyy) * Member Qualified Date:  (dd/mm/yyyy)
Referred By: 
Agency & Worksite
* Agency: (start typing any part of the name)
* Please select, search for, or suggest a new worksite
Employment Date & Type
Start Date:   (dd/mm/yyyy) * Employment Type:  
Occupation, Level & Salary
* Occupation:
* Salary Factors:

* Level:

Note: Please first select "Salary Factors" and then choose "Level".
* Salary:

Work Address / Contact
 Address:  Postcode: Fax: 
 Line 2:  Suburb: * Phone:
 Line 3:  State: * Email:
Home Address / Contact
* Address: * Postcode: Phone:
 Line 2: * Suburb: Mobile: 
 Line 3: * State: Email:


 Federal Electorate: State Electorate:
PO Box Address (if applicable)
 Address:  Postcode:

Option - Direct Debit - Request

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* BSB:  
* Account Number: 
* Account Name: 
* Payment Frequency: 

Option - Credit Card

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* Card Number: 
* Name on Card:  * Card Expiry:  (MM/YY)
* Payment Frequency: 
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