Join Become a NZONA Member Simply register online using the form below or print out the form here and post your application. For more information on membership cost and benefits see below. Register Online NZONA Membership Application Form Preferred Title*MissMsMrsMrName First Last Address* Street Address City ZIP / Postal Code Phone*Secondary PhoneEmail* Age*< 20 yrs20 - 30 yrs30 - 40 yrs40 - 50 yrs> 50 yrsPresent 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*0 - 5 yrs6 - 10 yrs11 - 15 yrs16 - 20 yrs20 - 30 yrs> 30 yrsAreas of Interest*Select all that apply Spines Trauma Joint Replacements Wound management Plastering Education Other If other, please specifyMembership Type*New MemberRenewalMembership Card NumberMembership Fee $50.00Note: $10.00 of your membership fee is forwarded to the Australia New Zealand Orthopaedic Nurses Association with which NZONA is affiliatedPayment Option*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.CashInternet BankingCheque (payable to NZ Orthopaedic Nurses)NameThis field is for validation purposes and should be left unchanged.