Membership Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area Code or Mobile prefixPhone Number

Farm/Property Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Year of Birth*

Which Region do you live in?

If you are interested in being part of a specific group or branch in the Lower South Island, please specify which one if known:

If you are interested in being part of a specific group or branch in Canterbury, please specify which one if known:

If you are interested in being part of a specific group or branch at the Top of the South Island, please specify which one if known:

If you are interested in being part of a specific group or branch on the Lower North Island, please specify which one if known:

If you are interested in being part of a specific group or branch in the Bay of Plenty/Coromandel, please specify which one if known:

If you are interested in being part of a specific group or branch in the Greater Waikato, please specify which one if known:

If you are interested in being part of a specific group or branch in Taranaki, please specify which one if known:

If you are interested in being part of a specific group or branch at the Top of the North Island, please specify which one if known:

MembershipNumber (if you are renewing your membership)

Occupation:

Please select as many as you want below:

I am interested in making connections and other rural womenI am interested in building my leadership and professional skillsI am interested in advocacy for issues that affect rural womenI am interested in volunteer roles on my local community

How did you hear about Rural Women NZ?

If you selected Other, you can type it here:

Is there anything else you'd like to tell us about why you are joining Rural Women NZ?

Your Privacy

RWNZ is a membership organisation made up of regional branches, with a focus on connecting rural communities. The contact details you provide will be used by staff, contractors and local volunteers to keep you informed with news and information you may find useful, including updates about national and regional RWNZ events and activities. Please read our Privacy Policy

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We are supported by partner organisations and businesses who share interests with our rural communities, and from time to time we may send promotional emails on their behalf. You can unsubscribe from these emails at any time. Do you agree to receiving promotional material from RWNZ and its partners.*

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Payment Options:*

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Shepherdess Magazine is offering a discounted subscription of $50 per year for 4 issues for RWNZ members. Please select below if you wish to add this to your Membership fee.

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Thank you for supporting Rural Women NZ. Once your payment has been received your membership will be activated.

Payment options are as follows:

Bank transfer: 06-0501-0778590-00 please use your invoice number as a reference.

Credit card: Please use the Stripe link or call the National Office on 0800 256 467 to pay by credit card over the phone. Please have your invoice number ready.

Credit card processing fees of 2.7% apply when using Stripe.

If you have any questions, please contact: enquiries@ruralwomennz.nz

Please select below your subscriptions. Note: a Credit card processing fees of 2.7% apply when using Stripe.

MembershipThis includes the Stripe fees of 2.7%

$50.00NZD for each year

Membership and Shepherdess Magazine SubscriptionShepherdess Magazine is also offering a discounted subscription of $50 per year for 4 issues for RWNZ members. This includes the Stripe fees of 2.7%

$100.00NZD for each year

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