Application Form: New Zealand Nepalese Association (NZNA)

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I, hereby, apply for the membership of the New Zealand Nepalese Association (NZNA) with my details below:

Email *

Full Name *

Which option below best describes you? *

Full address in New Zealand *

Your New Zealand contact number *

Declaration *

I confirm that I am over 18 years of age.

Required

Declaration *

I authorise NZNA to send me information related to the organisation to my contacts provided in this application form.

Required

Declaration *

I confirm that the details provided in this form are accurate and that it is my responsibility to inform NZNA of any change.

Required

Declaration *

I agree to abide by the NZNA constitution, rules and regulations.

Required

Declaration *

I agree to pay the annual membership fee of NZ $5.

Required

A copy of your responses will be emailed to the address you provided.

Submit

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