Membership

 

Thank you for your interest in becoming a Member of Epilepsy New Zealand

To apply for membership, please complete the form below and ensure you read the Terms and Conditions. Applications are submitted to the Board for approval in line with our Constitution and the Incorporated Societies Act 2022. We will notify you of the outcome as soon as possible. As a Member, you can vote at General Meetings, nominate and elect Board Members, and support our mission.

 

Membership Subscription

Our annual membership subscription is $12.00 (incl. GST) and is payable once your application has been approved.

Membership Application Form

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This field is for validation purposes and should be left unchanged.
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Are you a client?
(Are you currently receiving support from one of our Educators, or have you received support from us in the past?)
Postal Address*
Our annual membership subscription is $12.00 (including GST) Please note: Applications need approval and are considered at monthly Board meetings. If approved, you’ll receive an email inviting you to complete the online membership form and payment. If not, we’ll notify you by email.
I have read and agree to the Membership Terms and Conditions.*

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