NZ Helicopter Association

NZHA Private/Individual Online Membership Application

 
Please complete this form to apply for Private or Individual membership of NZHA.
For Company membership
Click Here

 
Name*

First

Last
Name to appear on certificate*

Postal Address

PO Box
Mail Centre
City/Town
Postcode
 

Postal Address

Street
Suburb/RD
City/Town
Postcode
 
Include this information on the AIA website, under
the members’ login page and members directory
*
 Yes  
 No 
 
 
Email*
Direct Phone Number
Mobile Number

Membership Levels

Membership Level*
 Private Owner - Base fee of $621.86 includes 1 helicopter. 2nd and up to max of 10 helicopters at an additional $186.56 each 
 Individual Pilots - Special Members (rule 6.2.4) - $118.45 
 
Please select membership level as appropriate.
NB: Membership fees will not be charged until your application has been approved.
Number of helicopters owned if applicable
 
UNDERTAKING
NB: Applicants are required to supply specific information in order to support their application.

I undertake, in the event of my election to membership, to pay the annual subscription for the division of Membership to which I am elected and, if required, to join the Branch of the Association whose territory includes my address as shown in this application.

Having read and accepted the Rules and Bylaws of the AIA and NZHA, if elected to membership, I hereby agree to abide by same and further, I agree to adhere to any decision made, or agreement entered into, by NZHA/AIA.
Indicate your acceptance of the above by checking
this box
*
 I accept the conditions as stated above 
 
Date*

MM
/
DD
/
YYYY
 
Image Verification
captcha
Please enter the text from the image:
[Refresh Image][What's This?]