Individuals interested in health issues in rural New Zealand may apply for membership as Friends of the Alliance. Individual members have no voting rights but the Friends Chairperson has speaking rights at formal meetings.

Membership fee is $115 per year.

Please complete the form below to apply for Individual Membership

Name (required)

Physical Address (required)

Postal Address (required)

Phone Number

Fax Number

Mobile Number

Your Email (required)

Job Title

Organisation Employed by

Date (required)

Please let us know in a few words what particular expertise or knowledge you could bring to the Alliance’s work?