Registration

Associate Membership Application Form

Criteria for associate membership are: Must be either

Current or former serving New Zealand Defence Force or foreign armed services person who has been posted, attached, or served with an RNZA organisation for a minimum of three months.
Gunner who has served with an army artillery organisation, other than the RNZA, for a minimum of one year.
Close family member of an Association Full or Life Member, or to a deceased person who would have qualified as a Full Member had they applied.
Person with a close affinity with the Association or RNZA, not covered by any of the above categories,
and deemed as meriting membership.

Associate Membership Registration

Surname

First Name

Middle Names

Preferred Name

Date of Birth

Address

Address Line 1

Suburb

City/Town

Post Code

Region/State

Country

Region/State

Country

Email (personal email, not work)

Mobile Phone

Home Phone

Reason for wanting to Join

Name and contact details of referee

Regimental Number

Serving / Retired

Serving

Retired

Current Rank

Rank at Discharge

Brief Military Service History/Units

I confirm this information is true and correct *