Change Membership Information – NZEI Te Riu Roa Campaigns

Name *

First

Last

Cellphone

Current email *

Current worksite *

I'd like to: *

Enter your new bank account for direct debit payments:

If you need to change or add credit card details please do this here, don't enter these above.

From what date would you like your payment details to change?

New email address? Enter this below

New address? Please enter both your former and new address

New worksite name

Please let us know the reason for your resignation

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. Thank you for your membership.

Reason for 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.

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

Yes

Update your NZEI Te Riu Roa membership details