NEED TO CHANGE OR UPDATE YOUR MEMBERSHIP INFORMATION?

Kia ora and welcome to the membership team. You can make changes to your contact details and payment arrangements using this form. If you are wanting to resign, or are going on leave, you can also let us know using this form.

Name *

First

Last

Cellphone

Email *

Current Worksite name *

1. Change Bank Accounts *

Please put your new bank account number in this box:

From what date would you like this payment to change?

2. Change your address or worksite *

Please give both your former and new address/ worksite name

3. Resign *

I want to resign
I'm going on leave and want to put my payments on hold
I don't want to resign

Reason for resignation or leave, including dates of leave if applicable.

If you are going on leave without pay or parental leave from a position you are entitled to return to we can put your subscriptions on hold for a time. For resignations, please advise the date you wish to resign. If you are paying your subscriptions by direct debit or recurring credit/debit card payments we will stop the payments with the bank for you. Cancellation of salary deductions can take up to 14 days and is dependent upon payroll processing cycles. If you wish to advise the reason for your resignation please use the comments box below. Thank you for your membership.

I understand that by submitting this form I am authorising the above changes to my NZEI Te Riu Roa Membership account. *

Authorised by Paul Goulter, National Secretary, NZEI Te Riu Roa, 178 Willis Street Wellington