Holocaust Centre of New Zealand Membership
Contact Details
First Name *
Last Name *
Email *
Mobile *
Pronouns
Prefer not to say
he/him
she/her
they/them
Date of Birth
Year
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Address Details
Address 1 *
Address 2
Address 3
Town/City *
Postal Code
Please select all that apply to you from the following categories
Holocaust survivor
Holocaust survivor descendant - second generation
Holocaust survivor descendant - third generation
Refugee
Member of the Diplomatic Corps
Member of Parliament
Academic
An employee/member of a Holocaust organisation other than HCNZ
Teacher
Member of a youth group
Donor
Jewish community member
Member of a faith-based organisation
Preferred means of contact
Email
Phone
Post
What are your interests? Select all that apply:
Attending commemorative events
Attending educational events
Volunteering
Research
Sharing my/my family's history
Financially supporting the Holocaust Centre
I agree to receive communications from the Holocaust Centre of New Zealand. This includes newsletters, invitations, announcements, and members-only communications.
Payment summary
${{ hcnz.payment.formatted_amount }} inc. GST
Would you like to make a donation?