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Name

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Age*

Present Employer*

Current Position*

Staff Nurse
Enrolled Nurse
Clinical Nurse Specialist
Clinical Nurse Manager
Nurse Educator
Other

If other, please specify*

Area of Practice*

Adult Orthopaedics (inpatient)
Paed. Orthopaedics (inpatient)
Operating Theatre
Clinic / Plaster Room
Education / Teaching

Years of Orthopaedic Experience*

Areas of Interest*

Select all that apply

Spines
Trauma
Joint Replacements
Wound management
Plastering
Education
Other

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Membership Type*

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Membership Fee $50.00

Note: $10.00 of your membership fee is forwarded to the Australia New Zealand Orthopaedic Nurses Association with which NZONA is affiliated

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Please select your intended payment method. Membership will be granted once funds have been processed. For internet banking, we will email our account details to you.

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Become a NZONA Member

NZONA Membership Application Form

Membership Fee $50.00

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