NZ Ambulance Association: Account Creation

Menu

Home
About
Contact Us
Member Login

Create an NZ Ambulance Association member login

Please enter your details below. Once your details are confirmed, our Administrator will approve your registration on the site. If you have any questions, please feel free to contact us.

Usernames and passwords are case-sensitive.

Email Address *

Re-type Email Address *

Password *

Re-type Password *

Last Name *

First Name *

Home phone number

Mobile phone number *

Postcode *

Address *

St John Member Number *

Membership Type *

Employer *

Station *

Region
(eg Auckland, Manawatu) *

Shift *

Gender

Male Female

Qualification *

Call Handler CCP ECP EMA EMD EMT First Aid First Responder ICP NOEC No ATP Other ATP Paramedic Telecare

Birthday *

Fees *

I authorise the deduction of membership fees from my wages - Full-time: $11 per week I authorise the deduction of membership fees from my wages - Part-time/Casual: 30 cents/hour worked I will set up an automatic payment (if you select this option, further details will be provided) I will make a one-off direct debit (Volunteer/Affiliate members only) of $20.00

Facebook