Application for membership in NZSBA.

Types of membership:

• Company Membership - $195 (1-10 employees) or $295 (11+ employees)

• Individual Membership - $95

• Student Organisation Membership - $295

• Platinum Membership - $1,095

Please fill in all applicable fields in the form below to apply for a mebership in NZSBA.
(Fields marked with * are required)

Membership application

	Contact information
Organisation name	Invalid Input
Contact person name (*)	Invalid Input
Physical address (*)	Invalid Input
Postal address	Invalid Input
Phone (*)	Invalid Input
Fax	Invalid Input
Website	Invalid Input
Country associsation	Denmark Finland Iceland Norway Sweden Invalid Input
	Association details
Type of association	Invalid Input
Company description	Invalid Input	Description of your company and products or services
Company logo	Invalid Input	To help promote your company you can also attach a copy of your logo
	Type of membership requested:
Membership type (*)	Platinum membership $1.095 Company membership $295 (11+ employees) Company membership $195 (1 to 10 employees) Student organisation membership $295 Individual Membership $95 Invalid Input
Are you human?	Invalid Input	Type the text shown to prove that you are human (spam protection)