Registration 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 *Instructions The yearly fee for a member is $86.25 GST incl. Please pay by direct credit or Internet Banking into the NZSDRT Account: 03 1559 0022619 000. Please reference your FIRST AND LAST NAME only. 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 VerificationThis box is for spam protection - please leave it blank:
