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First Name *

Surname *

Australia Post APS Number *

CWU Membership Number *

Cardholder Name *

Card number *

Card Expiry Date *

Please select your preferred frequency of deductions *

Quarterly - Jan, Apr, Jul, Oct Bi-Annually - Jan, Jul Annually - 10% discount applicable

Authority to cease payroll deductions *

I authorise the CWU Central Branch to notify Australia Post, on my behalf, of this decision to cease the payment of my Union contributions via payroll deduction, effective as of the date of this authority.

Direct Debit Authority *

I Authorise the CWU Central Branch to debit from my credit card the amount of my CWU contributions, and future contributions, as prescribed from time to time in accordance with the Rules of the Union. This authorisation is to remain in force until revoked by the CWU, or myself, in writing

Switch to Direct Debit

Switch to Direct Debit

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