NZ Society of Naturopaths Incorporated
Application Form


Please fill this Form out carefully and completely.

Failure to do so may result in delays in your application while we endeavour to contact you.

I hereby apply for Membership to the above named Society. Please print clearly


Surname:
First Names:

Mailing Address:

Home Phone: Work Phone:

Fax: Mobile:

E-mail Address:

Mailout of the Newsletter is by Email unless specifically requested.
(NZSN Prefer Email as it saves time, money, and trees.)

Qualifications relating to Naturopathy: (Send us A4 size photocopies of qualifications)


Naturopathic College Attended:


I am a registered practitioner with the: [Please check the box if you are a member]

Natural Health Council (NZ) Inc Yes
The New Zealand Charter of Health Practitioners Yes


I wish to register as a: [Please select ONE]


I am also a member of:


NB* If you are not residing in NZ you may only apply for Associate Membership.

Payment Options
We offer two payment options - Cheque or online banking.
For online banking the NZSN account number is Kiwibank 389 006 0654479 00 (The Society of Naturopaths Inc). Please include your name as a reference.

Cheque Posted Paid Online (Please Indicate Your Option)

Do you wish to be listed on the NZSN Website? Yes No
If your answer is yes please send information you would like shown on your listing to the webmaster webms@naturopath.org.nz or add here.



Would you like to be sent information on our Comprehensive Insurance Package for Naturopaths? Yes No

Your NZSN receipt number is your Member Number on your Insurance Application.

We would like to know the ways in which you can assist your Society. Please highlight those you prefer or add your own ideas.



Add your own ideas below:


Please allow up to 6 weeks for the processing of your application, longer if your qualifications are from a college outside of New Zealand.

Once your application is accepted you will receive a receipt and a Certificate for the year depicting your membership status with NZSN.
You will also receive other information about NZSN.

Email us or phone Terri on 09 8386727 or Anna on 07 8688787 if you need assistance.

Our Code of Ethics and Rules of Practice are on the NZSN Website. About Us

The details I have submitted on this form and the photocopies attached are true and correct. I acknowledge I have read and fully understood the Code of Ethics and the Rules of Practice of the New Zealand Society of Naturopaths (Inc) and if accepted for membership I agree to abide by them.

Signature:
Date:




Please email all other documentation to: register@naturopath.org.nz or Post to:
The Registrar
New Zealand Society of Naturopaths Inc
P.O. Box 90-170
Victoria Street West,
Auckland 1142




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