Registration Form (General Membership)

Autism New Zealand Inc. has branches throughout the country. Your contact details will automatically be passed on to your nearest branch so they can provide you with information on local support through their newsletter.

Your Privacy – We will record your information to keep you advised about opportunities for training and provide you with information and for statistical purposes. We may contact you from time to time with opportunities to assist Autism New Zealand with fundraising and other activities. This information may be accessed only by designated staff and branch committee members and you have the right to inspect and update the details at any time. Please write to us at PO Box 6455, Marion Square, Wellington 6141 or email us at info@autismnz.org.nz if you wish to check your details or do not wish to receive further information and offers.

Membership options

  • General membership of Autism New Zealand is free of charge.
  • “Financial” membership, which includes voting rights at Autism NZ general meetings and board elections and the right to stand in board elections, is $100 per annum.

Please note your membership is for a 12 month period from the month you join Autism New Zealand.

General (no charge)
Alternatively, apply for financial membership

Personal Details




(collected for funding purposes)

Under the Privacy Act we are obliged to make sure that all information you provide is not incorrectly assigned to someone else with the same name. Date of birth provides an initial measure of security so that this does not occur.







Email updates

Please tick to opt-in to us contacting you via email

Other ways to help

Please indicate if you’d like us to contact you about the following

Family details

Immediate family, or extended family living with autism





(collected for funding purposes)




(collected for funding purposes)




(collected for funding purposes)

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