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NZRA Individual Membership Form

* First name: * Last name:
* Street address: * Suburb:
* City/town: * Postcode:
* Region: * Country:
* Date of birth:
Organisation/Employer:
Current position/designation: Corporate Discount Code:
* Email: * Phone:
Mobile:
* Are you a student:
Yes   No
* Institution of study
* Course studying
Areas of interest:
Aquatics   Parks   Recreation
Sport   Policy  
Other
* Are you working in a recreation leisure industry:
Yes   No
* Do you earn more than $50,000:
Yes   No
* Membership category:
* Payment method:
Cheque   Creditcard
Are you interested in receiving more information on:
NZRA Accreditation Scheme   Mentoring Scheme
Please tick the box if you do not want to receive a copy of the Australasian Parks and Leisure Journal:
Please note: By not ticking the box you will receive a complimentary copy every quarter.
* I agree to adhere to and be bound by the constitution and ethics of the Association (both available on request and on the website).
Note: As per the requirements of the Privacy Act 1992 the information you provide will remain confidential to the NZRA and its officials. If you are willing for this information to be shared with like organisations for the purpose of industry development please tick the box.