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Student

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Work Phone Number

Postal Address*

Main Representative Member

First Name*

Last Name*

Job Position*

Mobile*

Email*

(to be use for member login and email notification)

* I hereby agree to the storage of my personal information by HKNZBA and that the HKNZBA can use my personal information for distributing the HKNZBA-related information and promotional offers by business services providers

PAYMENT METHOD

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PAYMENT SUMMARY
Student Membership	NZD 20.00
Additional Fee	NZD x
Total	NZD 20.00

Required fields must be filled up.

MEMBERSHIP REGISTRATION

Student

Main Representative Member

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