• This form is for people to apply for membership of Blind Citizens NZ. On receiving your Application, we will contact you to arrange your payment for your chosen membership subscription. Fields marked with an asterisk (*) are mandatory.
    Choose the title that is appropriate for your name.
  • Enter your first name or names and surname or family name.
  • Enter your postcode if you know it. You can visit the New Zealand Post Postcode directory if you would like to look up your postcode.
  • Enter your phone number including area code.
  • Optionally enter your date of birth (dd/mm/yyyy)
    Choose the format that best suits you to receive information from us.
  • Optionally enter your email address
    Are you a member of the Royal New Zealand Foundation of the Blind or eligible to be a member?
  • Optionally enter your RNZFB member number
    Are you currently in full-time or part-time employment?
  • $ 0.00