ACTION STUNTS AUSTRALIA

Use this form to update us with all the details we require to act on your behalf.

Collected information is NOT stored by us on a website or publicly available database.

Name *

First

Middle

Last

Power of Attorney *

• I have previously completed and submitted a PoA form to Action Stunts Australia
• I have NOT previously completed and submitted a PoA form to Action Stunts Australia

Email Address *

This is YOUR PRIMARY email address.

Date of Birth *

Please enter in the format of dd/mm/yyyy

Contact (mobile) number

Tax File Number

Super Fund Name

Super Fund Member Number

Submit