MULTIPLES NZ ASSOCIATE MEMBERSHIP FORM
Associate Member – $35 per year
Associate Members are individuals who have an interest in multiples, or multiple birth issues.
Benefits include:
One copy each quarter of the Multiples NZ Magazine
One free copy of each of the following Multiples NZ written resources: “The Four Trimesters of Multiple Pregnancy” and “The First Year – Positively Thriving with Twins”, “Precious Premmies”
Quarterly update letter by email
Ability to make representations to Multiples NZ about any area of concern regarding multiple related issues

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Address *
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Company / Association (if applicable)
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Phone Number *
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Membership Type *
Reason for Joining *
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Are you bi-lingual? If so what languages do you speak and would you mind being contacted in the future should we require your assistance communicating with a member with limited English *
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Are you a member of your local Multiples Club? *
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Privacy Policy: I give permission for Multiples NZ to use my personal details for: the membership database; email updates; magazine information; nappy orders. Note your information will otherwise be kept in confidence in accordance with the Privacy Act 1993. *
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I will be paying by: *
Note : the Multiples NZ membership year starts on 1st August with renewals due 31st July (those who are affiliate members via local clubs may have different membership cycles). Those members that join after 1st February (i.e. with less than six months of the membership year left) will have their membership automatically rolled over until July of the following calendar year.
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A copy of your responses will be emailed to the address you provided.
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