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MEMBER UPDATES

This is for current members. Use this form if your information has changed:

LAST NAME: FIRST NAME:
   
PREFERRED NAME: FULL NAME TO APPEAR ON REGISTRATION CERTIFICATE:
  Not required for Support Members
   
 
HOME ADDRESS:  
 

POSTCODE:
HOME TELEPHONE: HOME FAX:
 
 
PREFERRED CONTACT:  
  Home Work Email
EMAIL ADDRESS:  
  (only one email, eg. work or home)
 
EMPLOYER'S NAME:
EMPLOYER'S POSTAL ADDRESS:
 

POSTCODE:
WORK TELEPHONE: WORK FAX:
 
 
I consent to NZILE Inc providing details of my name and membership status to Brookers or any other publisher solely for the purpose of publication in any legal directory, and to any Law Society.
Signed: ___________________________________ Date: ____________________
 
FOR RESEARCH PURPOSES:  
 
Date Joined:      Gender:     Male     Female
  
Indicate the field(s) of law you work in by checking the boxes below:
 

Estates/Trusts
Litigation

Commercial Property
Conveyancing
xxx
xxx
  Please list other areas of work in the space below:
 

Fill the form in, Print (File>Print), Sign & Date then post or fax this form to NZILE