NZIIA Wellington Branch Membership Form 2021
* Required
Given Names
*
Your answer
Family Name
*
Your answer
Partner's Name (If signing up as family)
Your answer
Email
*
Your answer
Postal Address with Post Code (For posting of International Review Only)
Your answer
Student ID Number (For Student Members Only)
Your answer
Please choose your membership type (Early bird discounted rates )
*
Individual Membership with International Review Posted $50 *Postal Address Required
Individual Membership with International Review Emailed $40
Family Membership with International Review Posted $60 *Postal Address Required
Student Membership FREE
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
*
Online Bank Transfer - 15-3959-0524959-00 (Preferred)
Cheque (Please post your checque to: NZIIA Wellington Branch, PO Box 5066, Wellington 6140)
Cash
Student Free Membership
Required
How did you hear about us?
I am/We are existing member(s) of the branch
From NZIIA Wellington branch events
NZIIA National Office referral
Word of mouth
Open internet search
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