Join Retirees WA

Becoming a member of Retirees WA is as simple as filling out and submitting the online form below. Alternatively you can download the hard copy of the application form, to fill in & post to: Retirees WA Suite 2/ 915 Albany Highway, East Victoria Park WA 6101 . Please note you will need to send in your membership fee via cheque or money order or provide us with your credit card details.

Title*
First Name*
Last Name*
Telephone
Mobile
Email Address*
Residential Address*
Postal Address*
Pension # and / or SuperFund #:(Optional)
Drivers Licence # / Proof of Identity #
I agree to be bound to the Terms and Conditions
- yes
- no
I agree to be bound to the Terms and Conditions
Do you wish to become a member of a Retirees WA Branch?
- yes
- no
Do you wish to become a member of a Retirees WA Branch?
Membership Fee $30.00 / Annum (calendar year)
- I would like to receive news & updates from Retirees WA