Membership Form

Application for Membership of POLISH NEW ZEALAND BUSINESS ASSOCIATION (INC) POLANZ

I/we would like to make application for membership of the Polish - New Zealand Business Association (Inc) POLANZ and agree to abide by the rules of the association.

Name of Individual or Company (required)

City (required)

Contact (required)

Complete 8 only for Corporate membership

Name & Designation of the Company representative

Area of your interest/expertise

Name of Individual or Company (required)

Recommending member: full name

Select Required Subscription

I authorise PNZBA to store these details on their database and communicate with me by email or other means in accordance with their privacy policy.
yesno

I authorise PNZBA to include me as a member in any member list that they may publish.
yesno

Your application will need to be approved. We will get back to you shortly.