Individual Plus Membership Form

This form is for Individual Plus Members. If you would like to sign up as an organisation, you can see more on this page.

The following terms and conditions relate to the use of the online credit card payment facility on the InternetNZ (Internet New Zealand Inc) website:

The online credit card payment facility is used for one off payments only, and InternetNZ does *not* retain credit card information on file.
The InternetNZ Constitution describes the terms and conditions of membership.
InternetNZ has no cancellation or refunds policy. For all enquiries please email accounts@internetnz.net.nz.

New Membership

How long do you want to sign up as a member of InternetNZ?

One year

Five years for the price of four (save $57.50)

Ten years for the price of seven (save $172.50)

Amount to pay:

(incl. GST)

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Name and Address

First Name *

Last Name *

Street (Postal) *

City (Postal) *

Postal Code (Postal) *

Country (Postal) *

Region (Postal)

Phone (Work)

Phone (Home)

Phone (Mobile)

Email *

Privacy

Privacy *

I have read and agree with the InternetNZ privacy policy

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