Membership Form
Welcome!
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Email *
Pronoun *
First Name(s) *
Last Name *
Email: *
Membership Options:
Please note that our membership runs from the beginning to the end of each financial year. Membership expires March 31st each year.
Membership Type *
Year sub runs out:

Please note that our membership runs from the beginning to the end of each financial year. Membership expires March 31st each year.
 *
*
Year of first membership?
Website: (optional)
I wish my website or email address to be linked to the members page of the CANZ website:
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Address 1: *
Street and suburb
Address 2: *
City and Postcode
Region:
 *
Country of residence: *
Phone: *
I have paid my dues via online transfer to CANZ at our Kiwibank account 38-9011-0486094-00

Remember to put your name as the reference so we can process your payment.
 *
I require a receipt *
Thank you for your request to join CANZ!!! Your membership will be processed as soon as possible. Please note this can take 7-10 working days. Thank you for your patience! Ngā mihi nui!
A copy of your responses will be emailed to the address you provided.
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