Friend of the CNA Membership Application

We look forward to receiving your application to become a member of the Clinical Nutrition Association.

Please fill this form out carefully and completely and pay the membership fee. Failure to do so may result in delays in your application while we try to contact you.

Membership Fees

The annual Friend of the CNA Membership Fee is $35. Please pay via internet banking using our Kiwibank account 38-9009-0508274-00. In the “your details” section please include your initials and surname as the reference. On the anniversary of your membership you will be sent an invoice to ensure continued membership.

Your Account

Your username/password will provide you access to the member only area of the Clinical Nutrition Association website. Password must contain at least one number & uppercase letter.

Username*

Password*

Confirm Password*

Part A

Part B

Are you interested in assisting the association? If so, please tick:

writing articles for the websiteassisting with publicity or marketing

other - note below:

I have paid the application fee via online banking. Kiwibank account 38-9009-0508274-00. In the 'your details' section please include your initials and surname as the reference.

The details I have submitted on this form and the documents/photocopies I have provided are true and correct. I acknowledge that I have read and fully understood the Code of Ethics and Rules of Practice of the Clinical Nutrition Association and, if accepted for membership, I agree to abide by them.

I agree to receive the CNA's newsletter, and understand that my details will not be shared with a third party.

Only fill in if you are not human