Membership form Sorry - Personal detailsTitle First name *Last name *Date of Birth dd/mm/yyyyAddress City *Post code *Phone *Email *Regional Support group Employment detailsWorkplace name *Job title *Workplace postal address *Workplace phone *Workplace suburb *MembershipInstructions The yearly fee for a member is $86.25 GST incl. If opting to pay by direct credit or Internet Banking, you can pay into the NZSDRT Account: 03 1559 0022619 000. Please reference your FIRST AND LAST NAME only. Otherwise, please click submit after populating the all the fields. *** If you require an invoice, please contact the treasurer at treasurer@diversionaltherpy.net.nz *** If payment has been made, please notify the treasurer at treasurer@diversionaltherapy.net.nz *** Please note: we no longer accept cheques. *** On proof of payment you will receive in the post your Membership Badge and an email from wordpress, that will give you the details of your member login to the NZSDRT website www.diversionaltherapy.net.nz where you will be able to read/ download.Membership type *Full MemberAssociate memberFriendRegistered DT VerificationThis box is for spam protection - please leave it blank:
