Update my details

Fill in the details below so that we can update the HFACT membership database. Not all fields are required.

Please note that we treat your personal information as confidential and we will not pass on your information to third parties, even other Foundations, without asking your permission first. However, if you have already given us permission to pass on your details to Haemophilia Foundation Australia (HFA), we will forward your changed address details to them on your behalf.

Name(Required)

First Last

Email (old)

If you are changing your email address, please enter both old and current email address. Otherwise you may leave this field empty.

Email (current)(Required)

Enter Email Confirm Email

Please enter your current email address, even if you are not changing email address, so we can confirm your updates have been processed.

Postal Address (old)

Unit / Street address / PO Box / Property name Address line 2 Suburb / Town / Locality State / Territory / Province / Region Postcode / Zip Code Country

If you are changing your postal address please enter both the old and new address to ensure we have the correct person.

Postal Address (new)

Unit / Street address / PO Box Address Line 2 Suburb / Town / Locality State / Territory / Province / Region Postcode / Zip Code Country

Phone number (old)

If you are changing your phone number please enter both the old and new phone number to ensure we update the correct one.

Mobile / Home / Work

Please indicate which phone type to remove.

Phone number (new)

Mobile / Home / Work

Please indicate which phone type to add.

Comments or other changes

Use this box for any other changes that don’t fit the standard Email / Address / Phone categories we have provided.

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