Service Agency Affiliate Membership (non-MoE Approved)

Service/Agency/Organisation Affiliate Membership (MOE approved) Registration

This membership type is for Home-based childcare services/agencies/organisations that are not currently MOE-Licensed.

Membership *

Affiliate membership (non MoE licensed service/agency/institution) - $ 750.00

Total Amount

Email Address *

Organization Details

Organisation Name *

Service/Agency Phone Number *

Service/Agency Fax Number

Service/Agency Email *

Postal address (1) *

Postal address (2)

Postal address (3)

City

Post Code

Country

Special Character

Maori Immersion

Pacifica Language Nest

Special Character (other)

OSCAR Approval

Yes No

CYF/MSD Approved

Location Type

In which region would you like to attend local meetings and events? *

How did you hear about us

If you chose other, please specify

Are you a member of another national early childhood organisation?

Please confirm that you have read and accept our terms and conditions

Terms and Conditions *

Please select this option to confirm that you have read and accept our Terms and Conditions

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Username *

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Your details

First Name *

Last Name *

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