Application form


Surname (required)

First name/s (required)


Address and post code (required)

Your Email (required)

Your phone number/s

Please state Degree or Diploma, University, and Date.
Mention Majors or Honours where relevant

Occupation/Employment and/or Special Interests or Skills:
Please use this space to tell us a little about yourself

Amount paid

Full member $95Associate member $50Student member (all levels of study) $25

Payment method

Direct creditCheque

Payment date

Receipt needed?


Please enter the following characters


Payment options

Direct Credit

NZ Federation of Graduate Women Manawatu Branch
Account Number:  02 0727 0037509 000

Enter your surname and “New Sub” in the details boxes


Alternatively, please post your cheque:

Graduate Women Manawatu
P O Box 1713
Palmerston North, 4440.

If you don’t want to use the online form just send the same information by post.

Download and print application form