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Subscriptions are $44.00* annually, payable each 20th January or $1.70 per fortnight pay period if paying by Police Credit Union

Methods of Payment

Police Credit Union: Complete a 'Police Credit Union – salary deduction form', paying $1.70 a fortnight and email the form to us after submitting your 'Application for Membership' Form or;
Pay $44.00 into the below IPA bank account and complete either a 'Westpac or ANZ – Authority for Automatic Payment' Form, with future payments to commence on the 20th January the following year and email your selected form to us after submitting your 'Application for Membership' Form. (Please note that the Westpac Form is accepted by most high street banks apart from ANZ, who prefer we use their form).

Email: [email protected]

Bank: WESTPAC

Account Name: INTERNATIONAL POLICE ASSN. NEW ZEALAND SECTION
Account No.: 03 0252 0027998 02
Reference: YOUR NAME
Please make payment of $44.00 at the time of sending your application and payment forms.

To JOIN IPA New Zealand, please fill in the Application for Membership form below.

Personal Details
Title*
First Name*
Middle Name
Surname*
Male or Female*	Male Female
Date of Birth*
Country of Birth*
Are you a Credit Union member*	no yes Enter Credit Union Number :
Address
Home Street Address*
Suburb*
City*
Post Code*
Country*
Postal Address*	Same as Above Different (Fill out below)
Postal Address (if different from home)
Postal Address 1
Postal Address 2
Postal Suburb
Postal City
Post Code
Postal Country
Contact Details
Email Address (pref)*
Email Address (alt)
Phone (Home)
Phone (Work)
Mobile Phone*
Police Service History
Police Status*	Serving Retired
NZ Police Service* click here
Police Number / Service Number*
Date Joined
Other Police Service click here
Other Police Service
Duties Performed*
Rank
Police Station
Work Status*
Employer
Retirement Date
General Information
Can you offer Accommodation*	Yes No
If YES, what accommodation can you offer?
Visitor Contact*
Languages Spoken
Interests - Hobbies
Other Information
Additional Forms, Declaration and Privacy Agreement
Proof of Police Service or ID* click here	Yes
Auto Payment Forms* click here
Payment of $44 completed* click here
Declaration - Privacy Statement* Declaration and Privacy Statement can be viewed below click here	I Agree
YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU HAVE EMAILED YOUR PROOF OF POLICE ID AND PAYMENT METHOD FORM AND YOU HAVE SUBMITTED THE ABOVE APPLICATION FORM [email protected]

Personal Details
Title*

First Name*

Middle Name

Surname*

Male or Female*
Male Female
Date of Birth*

Country of Birth*

Are you a Credit Union member*
no yes Enter Credit Union Number :
Address
Home Street Address*

Suburb*

City*

Post Code*

Country*

Postal Address*
Same as Above Different (Fill out below)
Postal Address (if different from home)
Postal Address 1

Postal Address 2

Postal Suburb

Postal City

Post Code

Postal Country

Contact Details
Email Address (pref)*

Email Address (alt)

Phone (Home)

Phone (Work)

Mobile Phone*

Police Service History
Police Status*
Serving Retired
NZ Police Service* click here

Police Number / Service Number*

Date Joined

Other Police Service click here

Other Police Service

Duties Performed*

Rank

Police Station

Work Status*

Employer

Retirement Date

General Information
Can you offer Accommodation*
Yes No
If YES, what accommodation can you offer?

Visitor Contact*

Languages Spoken

Interests - Hobbies

Other Information

Additional Forms, Declaration and Privacy Agreement
Proof of Police Service or ID* click here
Yes
Auto Payment Forms* click here

Payment of $44 completed* click here

Declaration - Privacy Statement* Declaration and Privacy Statement can be viewed below click here
I Agree
YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU HAVE EMAILED YOUR PROOF OF POLICE ID AND PAYMENT METHOD FORM AND YOU HAVE SUBMITTED THE ABOVE APPLICATION FORM [email protected]