NZIIA Wellington Branch Membership Form 2021
Given Names *
Family Name *
Partner's Name (If signing up as family)
Email *
Postal Address with Post Code (For posting of International Review Only)
Student ID Number (For Student Members Only)
Please choose your membership type (Early bird discounted rates ) *
Required
Payment
Online Bank transfers MUST have full name as a reference code or your membership cannot be recorded. Cheques payable to NZIIA Wellington Branch. Cash and Cheques to be posted to: NZIIA Wellington Branch, PO Box 5066, Wellington 6140
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