Membership Form | ANZSA | Aotearoa New Zealand Seaweed Association

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Please complete this applicaiton form and then complete payment. Following this, you will be emailed a link to complete a short survey about your interests and activity with respect to seaweed.

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AOTEAROA NEW ZEALAND SEAWEED ASSOCIATION (ANZSA) MEMBERSHIP APPLICATION

Name of Organisation or Individual:*

Contact Person*

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Membership

Annual membership runs from 1 April to 31 March. There is no provision to pay fees on a pro rata basis if you join part way through the year. Fees will be renewed annually prior to the commencement of each financial year.

NB: Your card will shortly be charged the membership fee when you complete this transaction. You will be sent a receipt upon acceptance of your membership application.

Membership*

Affiliated Student Member* - FREE (no vote)

Student Member - $50 +GST (1 vote)

Individual/small organisation** - $225 + GST (1 vote)

Large organisation** - $495 +GST (1 vote)

Affiliated Student Member*

If you selected this option, please state your education provider's name and your student number.

Proxy*

If you selected Individual/small OR Large organisation, please enter the name of the person who has your proxy above.

Vision, purpose and values*

I have read, and agree with, the vision, purpose and values of ANZSA

Subscribe for updates

Yes, subscribe me to email updates

By submitting this application, I acknowledge and agree to abide by the Terms & Conditions of ANZSA.

If you have any queries regarding this form please contact [email protected]

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AOTEAROA NEW ZEALAND SEAWEED ASSOCIATION (ANZSA) MEMBERSHIP APPLICATION

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AOTEAROA NEW ZEALAND SEAWEED ASSOCIATION

ANZSA

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