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Membership Application

If you would like to discuss becoming a member before completing the application below, please call Dr. Linda Wright on +64 272 233 058

Description (200 words or less)
Organisation Address *
Organisation Address
Business Address
Organisation Contact *
Organisation Contact
Membership Fees *
Please select from the options below. A tax invoice will be issued upon acceptance of the application by the New Zealand Hydrogen Association Board
I agree that: *
I authorise: *
Declaration *
Signed *
Signed
Date *
Date