Registered Charity No: CC 25022
Incorporated Society No: 485143
GST# 62-049-111
Exempt from Income Tax in terms of
Section CB 4(1)c (Income Tax Act 1994)

Membership Application

Criteria for Membership of Polio NZ Inc.

Excerpt from the Constitution of Polio NZ Inc.

Types of Members

11.1. Membership shall comprise different classes of membership as follows:
a) Ordinary Members:
An ordinary member shall be a person who has applied to and been accepted by the Board of Management for membership and who has paid any prescribed subscription;
b) Life Members:
Any person who has rendered outstanding services to the Society or has made a great financial contribution to the Society may be elected a life member of the Society on the recommendation of the Board of Management and on the vote of a two-thirds majority of those present and entitled to vote at any Annual General or Special General Meeting of the Society. Any person so elected shall be entitled without subscription to all the privileges of membership;
11.2 Members have the rights and responsibilities set out in this Constitution.
11.3 Only Current Financial Members of the Society may participate in local support groups.

Admission of Members

12.1 To become a Member, a person (”the Applicant”) must:
a. Complete an official membership application form; and
b. Supply any other information the Board of Management requires.
c. Pay the subscription levied for the financial year in which the Applicant applies.


1) Any Polio Survivor and their primary care-giver shall be automatically granted membership on receipt of their application and subscription
2) Any Medical Professional shall be granted membership on receipt of their application and subscription on provision of evidence of their commitment to supporting the work of Polio NZ.
3) Any other person shall be granted membership after the Board of Management has considered and approved their application and their subscription has been received. Any applicant who has not had polio or is not the primary care-giver for someone who has had polio must provide evidence of the positive contribution they can and intend to make to the work of Polio NZ. Each person who has had polio can only have one person be a member of Polio NZ as their care-giver.

  • Please read and fill in required fields below, thank you.

    I wish to apply for membership of Polio NZ Inc. In applying for membership, confirm that I understand and meet the criteria for membership of Polio NZ Inc. I am aware that information provided in this Application will be retained in a Register of Members in accordance with the Constitution, that I can resign on written notice to the Secretary or that in the event of non-payment of annual subscriptions, membership is cancelled. I give my consent to non-identifying information within this application being used to further the purposes of the Society. I am aware that I can make written request to the Secretary to view information held by Polio NZ Inc. about me for the purposes of correction if necessary.

    (This information is helpful in our planning and negotiations for support services)
  • OR I am a health professional.
  • OR I am a member of the General Public or friend of a Polio Survivor and the contribution I can offer to Polio NZ is:
  • Please explain the positive contribution you can and intend to make to the work of Polio NZ Inc.
  • Polio News Posted Costs Us $4 Per Member Per Issue.
  • (valid until 30 June each year)
    Price: $ 17.25 Quantity:
  • Please enter donation amount below. Donations over $5 are tax deductible. Thank you.
  • MasterCard
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If you leave a legacy gift to Polio NZ, you can make a significant difference in the lives of Polio Survivors and their families. Polio NZ warmly invites you to help us in our work by making a bequest. Please contact our treasurer at