Membership Application Form for Organisations

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Membership Application Form for Organisations

Please complete the form below. Select your organisational size and preferred payment method then click Next to submit your application.

You will be emailed an invoice for your membership subscription.

Business Details

Organisation Name *

Industry Code *

Business Phone Number *

Number of Employees *

Postal Address *

City *

Postal Code *

Country *

Region *

Key Person

First Name *

Last Name *

Preferred Name *

Email *

Contact Phone Number *

Job Title *

Team Information

Does your organisation have an audit/risk committee? *

Who does your Head of Internal Audit report to? *

Has your team had any exposure to the IPPF standards? *

Please enter the number of staff, if any, that hold the following certifications:

IIA Certificaiton *

IIA Australia Grad Certification *

Other - please specify *

Briefly state why you wish for your organisation to hold an
IIA NZ membership *

E News Subscriptions

Newsletter

Situations Vacant

Global Updates

Event Email Notifications

Declaration

I request admission as a member to the Institute of Internal Auditors New Zealand and agree to comply with:

The Code of Professional Conduct including the
Code of Ethics available here

International Standards for the Professional Practice
of Internal Auditing available here

Our membership terms and conditions available here

Accounts Information

Accounts Email Address *

Please choose your organisation type *

Please tick the box if your organisation uses purchase
order numbers

Subscription Invoice Order Number

Subscriptions		Fee	Annual	Prorate
Corporates
	Bronze group membership	$50.00	$1,667.25	$277.88
	Silver group membership	$50.00	$3,159.00	$526.50
	Gold group membership	$50.00	$5,469.75	$911.63
	Platinum group membership	$50.00	$9,165.00	$1,527.50
	Platinum Plus group membership	$50.00	$13,115.00	$2,185.83
Total				$0.00

Note

All prices exclude GST

Payment Method

Credit Card Pay on Invoice

Purchase Order Number

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