AFFILIATION APPLICATION Date of Application * MM DD YYYY Type of Application * New Renewal Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Details Name * First Name Last Name Email * Phone * For Affiliated and Associated Membership only Year of Establishment * Type of Establishment * Individual Club Sports Association Company Other Type of Structure * Incorporated Society Not-For Profit Society Public/Private Trust Public/Private Foundation Public/Private Corporation Other Type(s) of Activity * Location of Activity * (Please complete where applicable) Year of last filing with the NZ Incorporated Society * Year of last filing with the NZ Charities Commission * Year of last filing with the NZ Companies Register * If a Club, Sports Association or similar: How many members are currently registered with you? * What is the current cost of your annual membership? * Do you run/operate your own leagues? * Thank you!