P PO Box 25062, Wellington, New Zealand
w www.nzlla.org.nz
NEW MEMBERSHIP FORM 2015 / 2016
Personal membership of the New Zealand Law Librarians’ Association (NZLLA)
NAME:
............................................................................................................................................................
POSITION / TITLE:
............................................................................................................................................................
ORGANISATION:
............................................................................................................................................................
MAILING ADDRESS:
............................................................................................................................................................
CITY, POSTCODE:
............................................................................................................................................................
PHONE NUMBER:
............................................................................................................................................................
FAX NUMBER:
............................................................................................................................................................
EMAIL:
............................................................................................................................................................
How long have you been involved in law librarianship?
Are you Professionally Registered (i.e. RLIANZA)?
O
O
O
O
O
O
O
Less than 2 years
2 – 5 years
6 – 10 years
11 – 20 years
more than 21 years
Yes
No
This information is for general statistical purposes only: a
member's status will not be published or divulged to anyone else
unless the member so wishes (e.g. for directory listings).
Please indicate if you wish your name and contact details to be listed in published directories:
O
As detailed above
O
Do not publish my details
WHAT SHOULD THE NZLLA FOCUS ON THIS YEAR?
(eg Professional education, technology and information management, Pacific Island relations, preservation issues)
Annual membership to the NZLLA is NZ$75.00, payment can be made electronically or by cheque.
The NZLLA is not required to be registered for GST
O
ELECTRONIC TRANSFER
NZLLA Bank Account: 03-0162-0121892-00
PLEASE BE SURE TO INCLUDE:
Particulars: [Enter: your surname]
Code: [Enter new membership number: 0000]
Reference: [Enter: membership]
Please ensure that this form is sent to the address above,
or emailed to info@nzlla.org.nz, even when paying by
electronic funds transfer.
O
CHEQUE
Cheques should be made payable to New Zealand Law
Librarians Association and posted together with this form
to the address above.