Join NZMA

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Join the NZMA today

Title*

First Name*

Family Name*

Date of Birth*

Gender*

Email Address*

Mobile Phone*

Home Phone

Medical Council Number*

Mailing Address*

What prompted you to join the NZMA*

General Practitioner

Specialist

Resident Medical Officer

Other

GP Sub Category*

Specialist Sub Category*

Other Sub Category*

Credit Card

Direct Debit NZ $20/month
($10/month for RMOs)

Bank Transfer

I wish to become a member of the New Zealand Medical Association.
I agree to abide by the Constitutional Rules of the New Zealand Medical Association and the Association's Code of Ethics.
I also agree to pay my annual subscription, and to notify the NZMA in writing should I wish to resign.
In accordance with the Privacy Act, applicants are advised that, unless they notify the Association otherwise, their contact details may be provided to other Association members or other health related organisations who may wish, from time to time, to communicate with members of the Association.

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