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Become a member of the Hearing Association Wellington, and receive the following entitlements:

 
  • One free hearing test per year
  • Discounted batteries
  • Discounted assistive devices
  • Newsletters
  • Free or discounted courses
  • Discounted aural rehabilitation courses
  • Social outings
  • Trial products
  • Funding entitlement advice
  • Advocacy

MEMBERSHIP APPLICATION FORM

You can apply for membership to the Hearing Association Wellington Incorporated on-line. Complete the form and click on Submit when you're done.

Member type

Name*

Postal address

Suburb

Town/City

E-mail*

Phone (Home)

(Work)

Fax

Mobile

Annual sub

Membership fee is $30.00 (single) or $45 (couple) per year.

Donation $

N.B. Any donation above $5.00 is tax deductible.
We are grateful for your assistance.

Payment method

Card type

Name on card

Number

Expiry

Declaration*

 I agree to abide by the rules of the Association.

* required field
    

Instructions for use

Click [Reset] to clear all fields to default values. Click [Apply] to validate and store your details for future use. This does NOT submit your application. Click [Submit] to submit your application. Please note: an immediate response may not be forthcoming; please allow 24 hours for your application to be processed.