NZTA Form

1.YOUR DETAILS: For a Corporate Membership, please enter the Contact Person
Title First Name Last Name
Credentials (eg ONZ, LLB, CA)
Profession (eg. Accountant, Lawyer, Trustee,) <For a Student: Student ID #
Email * required	Telephone
Website	Mobile
Street Address / PO Box	Suburb
City	Country

2.TRUST DETAILS: Please enter your 2 x Highest Profile Trusts (Privacy precluding please state "Private Trust") :
1) <For a Student: Place of Study
2) <For a Student: Principal Subject
Total Years as a Trustee Number of Trusts administered Total Assets administered M/k (optional) $

3.SUBSCRIPTION FUNDER If not the Individual
Firm/Practise	Trust Company/Trustee Co.	Trust/Board
Funders Name ie. Business / Trust Name

4. MEMBERSHIP LEVELS:	(Tick)	$NZ Incl.
STUDENT MEMBER (For Individuals with current Student ID only) Please note Student Membership does not provide a weblisting		$ FREE
ASSOCIATE (For Individuals) Provides Partial Weblisting Benefits		$ 57.50
FAMILY TRUST MEMBER (For Family, Private & Inter Vivos Trusts) No Weblisting for Privacy		$ 57.50
MEMBER (Trustees, School Trustees, Board Members, Trust Administrators) Provides Location Details Only		$ 84.50
SENIOR MEMBER ( Chair, President, Senior Trustees, Directors, Practitioners & Senior Admin) Provides Business/Operating Description, Credentials, Location & Contact Details		$ 115.00
CORPORATE MEMBER (Firms, Trading Trusts, Corporate Trustees, Corporate Bodies, Boards) Provides Business/Operating Description, Full Contact Details		$ 284.50

5. ENTER YOUR BUSINESS / OPERATING DESCRIPTION: For your NZTA website listing (255 char. max)
To have our staff contact you about Sponsorship / Advertising options for NZTA - Please click here

You may nominate a current NZTA Member for a 30% subscription discount for initiating your subscription:
Current Members Name:

Subscription Conditions
1. The Executive / Registrar reserves the right of acceptance of application for membership.
2. Members agree to abide by the rules and codes sanctioned by due process of the Association.
3. Subscription is payable annually.