Membership Registration Form

Organisation/Individual Name *

Main Contact Name *

First

Last

Contact Phone number *

Email *

Additional Email contact

Club/Gym Physical Address *

Postal Address *

Number of Teams *

Number of Athletes *

Years in operation *

Website

Do you have any upcoming events or information about your club/gym you would like NZCU to promote for you? Please let us know of any achievements your club has so we can make sure we promote these with the community.

I (name of representative) *

First

Last

Representative of *

Terms and Conditions *

I agree to being a NZCU member. That I and my organizations members will follow the NZCU rules and Contact details may be released in a Membership Directory format to other members and for bonafide information requests about joining a local team.

Name

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Membership Registration Form

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