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Home
About Us
Meet Ingrid van Rijn, our Executive Officer
ATSNZ Objectives
Getting Involved
Our Current Projects
Why Join ATSNZ?
Apply Online
Code of Practice
News And Activities
Newsletters
Submissions
Our Members
ATSNZ Expo
Contact Us
Members
Member Login
Home
Search for...
ATSNZ Member Application
Company Name
Contact 1
Title
Phone number
Mobile
Email
Contact 2
Title
Phone number
Mobile
Email
Postal Address
Physical Address (if different to postal address)
Membership
Full Membership
Affiliate Membership
Total Staff
Business Segments
-Please Select-
Manufacturing
Importing
Distribution
Retail
Modifications
Service
Custom Mobility
Standard Mobility
Seating & Positioning
Bath Safety
Communication Devices
Patient Handling
Beds & Mattresses
Respiratory
Daily Living Aids
Motor Vehicle
Scooters
Hire
Other (please specify)
Membership Tier
-Please Select-
Tier 1 - 21 or more staff
Tier 2 - 11 to 20 staff
Tier 3 - 4 to 10 staff
Tier 4 - less than 4 staff
International
Referee 1 Name
Company
Phone
Referee 2 Name
Company
Phone
Send