ACE Aotearoa Membership Form 2026 (January to December) Survey

1.Voting Representative(Required.)

First Name

Last Name

Job Title

Organisation

Number of offices/sites nationally in your organisation

Postal Address

City

Postcode

Contact Number

2.Finance Contact Details

First Name

Last Name

Job Title

Contact Number

3.Membership Categories: (please fill out a separate form for each membership)(Required.)

Part time Waged / Unwaged Individual : $25

Full time Waged Individual $50

Organisation/Group* : $50

National Organisation/Group*: $150

4.Donation / Koha

Amount

Total to Pay (including membership)

Note: Amounts are GST incl

5.Payment Method (select one)(Required.)

Invoice
Please email finance@aceaotearoa.org.nz
if you have not already received an invoice for your membership fee.

Electronic Bank Transfer
Bank Account name: ACE Aotearoa
Bank Account number: 02 0585 0059963 000

Please include your name or your organisation’s name, and “Member 26” as the reference

All payments are due by Tuesday 31 March 2026

6.Privacy
I/We agree that membership of ACE Aotearoa allows the information on this application form and associated documents to be used by ACE Aotearoa in accordance with the provisions of the Privacy Act 2020.(Required.)

Yes