23 May Two Year Membership Posted at 11:19h in by [email protected] 0 Comments 0 Likes Price: $140 for 2 Years First Name:* First Name Required Last Name:* Last Name Required Address Line 1:* Address Line 1 is Required Address Line 2: Address Line 2 is not valid City:* City is Required Country:* Country is Required -- Select Country -- New Zealand Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe State/Province:* State/Province is Required Zip/Postal Code:* Zip/Postal Code is Required Date of Application:* Date of Application is Required Mobile Phone: Mobile Phone is not valid Home Phone: Home Phone is not valid Designation:* Designation is Required RN EN NP Student Allied Health Other If designation is others, please specify: If designation is others, please specify is not valid Ethnicity :* Ethnicity is Required EuropeanNZ EuropeanNZ MaoriPacific IslandAfricanAsianOther Current Employer:* Current Employer is Required Area of work:* Area of work is Required Acute Hospital (Adult) Acute Hospital (Paediatrics) Hospice Primary Health Hospital/Resthome (Residential) Others If Area of work is others Please specify: If Area of work is others Please specify is not valid What is your role?:* What is your role? is Required RN EN NP CNS Manager Educator/Resource Student What is your highest qualification? :* What is your highest qualification? is Required PhDMasters DegreeBachelor of NursingPG Certificate/DiplomaEnrolled NurseOther How did you hear about PCNNZ?:* How did you hear about PCNNZ? is Required Word of Mouth Journal Internet Search Engine (i.e. Google) Link from another website Facebook Other What additional activities or functions would you like PCNNZ to provide?: What additional activities or functions would you like PCNNZ to provide? is not valid Your District Health Board Area: Your District Health Board Area is not valid NorthlandWaitemataCounties ManukauAucklandBay of PlentyWaikatoLakesTairawhitiTaranakiHawke's BayWhanganuiMid CentralCapital and CoastHuttWairarapaNelson MarlboroughWest CoastCanterburySouth CanterburySouthern Username:* Invalid Username Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Select Payment Method Credit Card Bank Transfer Name on the card:* Name on the card is required. 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