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NZIIA Wellington Branch Membership Form 2020
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* Indicates required question
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
*
Individual Membership with International Review Posted $60 *Postal Address Required
Individual Membership with International Review Emailed $45
Family Membership with International Review Posted $70 *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
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