Membership Application

To become a Energy Resources Aotearoa member, please fill out the form below.

For more information on Membership Categories please click here.

Applicant Information

Company Name

Contact Person

Position

Email Address

Postal Address

City/State

Postal Code

Country

Contact Number

Appointed Representative

Contact Person

Position

Email Address

Contact Number

Postal Address (if different from above)

Interests

Health, Safety & Environment

Communications

Policy

Planning/Resource Management

Payment Methods

Cheque - Post to: Energy Resources Aotearoa Accounts, PO Box 25259, Wellington 6140, New Zealand

Direct Credit - Please generate an invoice

Purchase Order Number

Membership Agreement

I/We hereby apply for membership and agree to be bound by the Energy Resources Aotearoa constitution.