Update your details

Have you relocated in the last 12 months or changed your phone number? Update your personal details below:

Please leave this blank if you are unsure. If you have misplaced your membership card, contact reception on 3624 2110.

Please fill out below:

Select all that apply

Emergency Contact Details:

Privacy Statement: Burnie Brae Ltd is committed to the privacy of our clients, members, employees, volunteers, business partners and other individuals. We will use, collect and disclose all information (including personal, sensitive and health information) in accordance with our Privacy and Confidentiality Policy at burniebrae.org.au/uploads/Privacy-and-Confidentiality-Policy.pdf.

Sign up to receive our newsletters

© Burnie Brae Ltd. | ABN: 39 206 062 402 | ACN: 609 476 637

Website by NWO