ASNG Membership Application/Renewal Form
Our membership year is the 1st April to 31st March the following year; the cost of an individual annual membership is $40.
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Email *
Name *
Nursing qualification *
Post graduate qualification
Practicing certificate number *
Practicing certificate expiry date *
MM
/
DD
/
YYYY
School *
School address *
School phone number *
Are you an existing member *
Please list the person OR school name to be invoiced  
*
If you are an existing member which cluster group do you belong to:
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Are you working in a school funded by Te Whatu Ora? *
Thank you for your membership application/renewal, you will receive an email invoice shortly with more information.
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