Wufoo

Affiliate Application Form

Affiliate Membership

This may be applicable if you are not a magazine publisher, however your business can be demonstrated to be a stakeholder offering services or benefits to the NZ magazine publishing industry.
Affiliate membership does not include voting rights at the AGM or the ability to stand for the Executive. There is a specific logo for Affiliate membership; to promote professionalism and credibility in the magazine publishing industry we encourage members to use this in their publications & website.
Contact Details

Company Owner must complete this section
Company Name *
Contact Name *
Postal Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Physical Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Telephone *
Fax
Email *
Web Site
You are submitting this membership application acknowledging that all information is true and correct and that you are giving permission to the MPA and its officers to conduct a comprehensive credit check.

You acknowledge that you have read and understood the MPA Rules and Member Codes of Ethics and Conduct, and that you agree to ensure that your business abides by these. Read Rules Here.

If posting this form please sign below.
Applicant Name *

If posting please sign
Position *
Date / DD / MM YYYY
Credit Particulars
Your Company Directors Names
Senior Executives (Names & Titles)
Number of employees
CREDIT REFERENCES: This information will be treated in confidence.

Please provide three business credit references (including one printer if applying for Full Membership). Please provide company name, address, telephone number and contact person for each credit reference. If you are a printer/publisher you are required to supply a reference from the industry your title represents. (Sports Body / Health / Travel / Govt etc)
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3.
A final few questions to help us understand how MPA might be able to assist your business
If seminar series on education were run in Auckland City would you consider attending if they were applicable?
Yes No
What, if any, educational aspects would appeal to you?
What is your main reason for wishing to join the MPA
Do Not Fill This Out

Wufoo

Affiliate Application Form

Affiliate Membership

Contact Details

Credit Particulars

CREDIT REFERENCES: This information will be treated in confidence.

A final few questions to help us understand how MPA might be able to assist your business