ASNG Membership Application/Renewal Form
The month of membership renewal has been changed from May to March. In recognition of members last year not receiving the full term of their membership, renewals are discounted $5.
Renewal of membership: $35
New membership: $40
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Name *
Nursing qualification *
Post graduate qualification
Practicing certificate number *
Practicing certificate expiry date *
MM
/
DD
/
YYYY
School *
School address *
School phone number *
Work email *
Home email (only if you wish to receive ASNG correspondence through this)
Are you an existing member *
If you are an existing member which cluster group do you belong to:
Clear selection
Are you working in a school funded by the DHB? *
Thank you for your membership application/renewal, you will receive an email shortly with more information.
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