Application for Membership

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Please complete the application form below, filling at least those boxes marked with *

Please note:

  • We need your email address to give you a password to use the member features of this website
  • We need your email address if you choose to access GSA newsletters online
  • Your annuity number can be found on the letter you receive from Datacom every year
  • Be sure to include your spouse/partner in your application

  

Scheme:

My number is: *
My employer is
Honorific: *
Initials: *
First name: *
Last name: *
Date of birth:
Phone: *
Email: *
Newsletter: Would you like to receive the newsletter by post or email? Select your preferred newsletter option.
Spouse/Partner
Honorific:
Initials:
First name:
Last name:
Date of birth:
Email:
Email Newsletter:
Address
Street: *
Suburb/RD:
Town/City: *
NZ Postcode: *
Country:
If not New Zealand
I/we apply to become members of the Government Superannuitants Association.

My annual subscription of $26.00 has been:

(I have quoted for reference my GSF or NPF number)
FreePost 71086
Government Superannuitants Association Inc.
PO Box 11993
Manners St Wellington 6142
(I have quoted for reference my GSF or NPF number)




If you have any questions, please email directly to: gensec@gsa.org.nz

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