Membership Application
First Name(*)
Please type your first name.

Last Name(*)
Please type your last name.

Physical Address(*)
Please enter your physical address

Mailing Address(*)
Please enter your complete mailing address

Website Address
Invalid Input

Invalid email address.

Invalid Input

Invalid Input

Membership Type Required(*)
Please select preferred membership type

Please complete the following questions about your organisation:
Organisation Name
Invalid Input

Organisation Address
Invalid Input

Organisation Registration Number
Invalid Input

Organisation Telephone
Invalid Input

List of additional members of your organisation wishing to join as part of this organisational application [please include each person's position in the organisation and email address].
Additional Member Details
Invalid Input

I hereby apply for membership of the NZCAC and upon admission agree to pay member fees annually. I have read, understood and I agree to abide by The Rules of the Society and the NZCAC Member Code of Conduct
I have read and agree to the rules of the society and the society code of conduct(*)

Invalid Input

Statement of Interest(*)
Invalid Input

Would you like to add a donation?
A donation, whatever the amount, will help make a real difference to the welfare of companion animals in New Zealand. You can make a donation below.
Donation amount:
Invalid Input

I understand that by submitting this form I will be deemed to have provided my signature
Invalid Input

Invalid Input

* indicates a field you must enter