NZAIA Membership
Your Details
First Name
*
Last Name
*
Email
*
Position / Occupation
Employer
City / Town/ Locality
How did you hear about us?
Google Search
Social Media
University or Polytech
Word of Mouth
Other
Member Type
*
Standard Membership ($60)
Student Membership ($25)
Low Income Membership ($25)
Back
Next
Payment
How would you like to pay?
*
Credit Card
Please send an invoice
Credit Card Payment
prev
next
( X )
Standard Membership
$
60.00
NZD
Student Membership
$
25.00
NZD
Low Income Membership
$
25.00
NZD
Total
$
0.00
NZD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Would you like the invoice to be sent to your employer or another party?
Yes
No, just send it to me
Ok, great! Your invoice will be emailed to you.
Ok, please enter the appropriate details.
Name of organisation or person
Their email address
Postal Address
Reference or Purchase Order Number
Do they require a certified bank statement from NZAIA?
Yes
No, I don't think so
Submit
Should be Empty: