Individual Application Form

Individual Membership

This may be applicable if you are closely connected with the NZ magazine publishing industry, or are studying to enter the industry. You must be able to demonstrate your contribution to the industry, and be nominated and seconded by an existing member. Individual membership does not include voting rights at the AGM or the ability to stand for the Executive. There is a specific logo for Individual membership; to promote professionalism and credibility in the magazine publishing industry we encourage members to use this in their stationery, publications & website.
Contact Details
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 background 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 you abide by these. Read Rules Here.

If posting this form please sign below.
Applicant Name *

If posting please sign
Industry Role
Nominated by (existing MPA member name and contact phone) *
Seconded by (existing MPA member name and contact phone) *
Date DD / MM / YYYY
Tell us about yourself ...
What roles have you had in the magazine industry (please give dates and employer names) *
How are you contributing to the industry now? *
CHARACTER REFERENCES:

Please provide contact details for three character references.
1. *
2. *
3. *
A final few questions to help us understand how MPA might be able to assist you
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 *
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Individual Application Form

Individual Membership

Contact Details

Tell us about yourself ...

CHARACTER REFERENCES:

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