SSPA Affiliate Membership

Contact Information


Name of Organisation or Individual(*)

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Website

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Address(*)

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City / Town(*)

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Post Code

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Contact person(*)

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Phone(*)

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Email(*)

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Membership category(*)



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Brief description of services provided, or area of work(*)

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Do you have any government contracts?(*)


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If yes, please specify

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Annual Budget of Organisation(*)





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Do you require a tax invoice?(*)


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If you do not require an invoice, please direct credit your fee to Social Service Providers Aotearoa Inc. - ASB 12-3109-0157427-00


Do you require a receipt?


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(*)


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