TENZ Individual Membership

Please see the Membership page for fees. You will be notified of your acceptance and invoiced for membership by IPENZ once your application has been processed.

No payment is required at this point.

Surname *
Initials *
Forenames *
Preferred forename
Date of birth *
Home address *
Home Email
Home phone
Home fax
Business address
Business phone
Business Email
Business fax
Name of School
Preferred Mailing Address Home Business
Preferred Email Address Home Business

Are you now, or have you ever been, a member of IPENZ or affiliated IPENZ groups?

Yes No (If 'Yes', please provide IPENZ number: )

Allow emails from other organisations (with Chair permission sought every time)

* Required field – you must fill in these boxes in order to submit your application.