NZSSA Membership Application Form

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Annual membership subscription is NZD70.00 from 1 January 2025

If you already have a member login, sign in, update your details and make your payment.

* First Name

* Last Name

* Contact Number

* Email

* Address 1

* Address 2

* City

* Zip

* Date of Birth

* Ethnicity

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Pasifika

Asian

Other

Please specify which iwi you identify with

Please identify which Island

Please identify which area

Please specify

* Work Status

NZ Citizen

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Qualifications List any tertiary qualifications you may hold

* Have you been a member of the NZSSA before?

Member

Graduate

Registered

If yes what was your last year of membership?

* Employer you work for

* Job title

* Employer Address

* Employers Postcode

* I hereby apply for membership of the New Zealand Sterile Services Association as defined In the Constitution and Rules (type name here)

* Username

* Password

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Member	70.00NZD
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Subtotal

Fee

70.00NZD

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