Membership Application Subscribe to our mailing list * indicates required Group I am registering for TAURANGA MA11 TAURANGA SOUTH MA9* TAURANGA MA9 MOUNT MA11 TE PUKE MA9 THE LAKES MA9* MA11 PARNELL MA11 PAPAMOA First Name * Last Name * Email Address * Mobile * Applicant 2 - First Name * Last Name * Email * Mobile * Address * Address Line 2 City State/Province/Region Postal / Zip Code Country USAAaland IslandsAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican 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TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican City State (Holy See)VenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Western SaharaYemenZambiaZimbabwe Business Name * Industry Type * Accounting Legal Real Estate Bookkeeper/Admin Marketing Health Financial Services Beauty Counselling Mentoring Other Description of products or services Birthday * / ( mm / dd ) Website Facebook Page Position * Director Manager Sales Other I have read and agree to the terms & conditions Yes No How did you hear about us? Friend Colleague Infuzed Member Google Search Social Media (e.g Facebook) Other Membership Options Std 6 Month ($29 per mth) Std 6 Month Up Front ($159) Std 6 Month Corporate/Couple* ($49 per month) Full 6 Month ($59 per month) Full 6 Month Up Front ($299) Full Corporate/Couple* ($99 per month)
