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Become a Member/Renew Membership of New Zealand Christians In Science
Name
*
First name
Last name
Title
Date
Position/role
Institution/organisation
Email address
*
Phone
*
NZCIS offers three levels of membership: Full, Associate or Student membership. Please select one. Full membership is for professionals in science, medicine, or theology/ministry. Associate membership is for all other interested people. Student membership is for all who are in full time study.
Membership Status
*
Full Member
Associate Member
Student Member
Membership Fee
*
$100 - Full Member
$50--low income Full Member
$50 - Associate Member
$0 - Student Member
$100 - Full Member
$50--low income Full Member
$50 - Associate Member
$0 - Student Member
Payment method
*
Credit/Debit Card
Internet Banking (NZ only)
NZCIS 06-0193-0674457-00
Is this a renewal?
Please select your Region
*
Please choose the main centre nearest to your home. You can choose more than one.
Auckland
Hamilton
Palmerston North
Wellington
Nelson
Christchurch
Dunedin
Australia
Overseas
Privacy Policy: NZCIS will not sell or give your name or information to any third party without your approval.
Please check the highlighted fields
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