Become an ACYA member

ACYA Membership Application

* Indicates required field

Membership Type *

Individual/Family NZD $15 pa Organisation NZD $35 pa

Title *

Name *

Organisation name *

Contact person and role in organisation *

Email *

Phone - include area code *

Mobile Phone *

Postal Address - include Post Code *

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Your particular child rights interest area *

Preferred Payment Methods *

Internet Banking Bank Deposit

Internet banking and Bank deposits
ASB Remuera: 12 3030 0632299 00
- please include payee details

Cheques - Please only use cheques if you cannot deposit your membership fee directly into our bank account.
If you do use a cheque, please write name/organisation name on the back, or your invoice number if you are renewing membership and post to:

ACYA
C/O Secretary
YouthLaw
PO Box 76891
Manukau City
Auckland 2241

Apply