Associate Individual Membership Registration Application is made for Associate Individual Membership of the New Zealand Security Association (Inc.) In support of the application the following details are provided in confidence:Your DetailsName* First Last Postal Address* Street Address Address Line 2 City Region Post Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Telephone number*Fax numberMobile numberEmail* Employer*Occupation/Position*Company OverviewPlease provide a brief overview of your company. Only 100 words will be displayed on your listing.wpcf-company-overviewDeclation* I/we authorise any person or company to provide you with such information as you may require in response to your membership enquiries. I/we further authorise you to furnish to any third party details of this application and subsequent dealings that I/we may have with you as a result of the application being actioned by New Zealand Security Assocation. Security Service CategoriesLocations* All of New Zealand Northland Auckland Waikato Bay of Plenty Gisborne Hawke's Bay Taranaki Manawatu Wanganui Wellington Nelson Marlborough West Coast Canterbury Otago Southland Please indicate the region(s) you operate inService Categories and Codes of Practice*The following are the broad member services. If you are offering these services you must tick the appropriate boxes. If the services you provide are not listed below, please state these under Other. A. Alarm Monitoring Centres B. Intruder Alarm Systems C. Camera Surveillance Systems D. Eletronic Access Control E. Physical Security Equipment F. Guard Services G. Patrol Response H. Cash Transit I. Crowd Control Services J. Private Investigation K. Security Training L. Secure Destruction M. Security Consultant N. Other Other Service Categories*wpcf-other-service-categoriesPlease list one Service Category per lineAttachmentsA signed copy of NZSA Code of Professional and Ethical Conduct*View the NZSA Code of Professional and Ethical ConductApplication fee* I acknowledge that I must pay the application fee of $155 ($135 + GST) for my application to be completed Please Note: Completion of this application for NZSA Membership does not confer any special rights or privileges on the applicant. Membership of the Association commences only after receipt of the current subscription and the Membership Certificate issued by the NZSA. Applicants for membership of the NZSA should not imply or infer that membership of the Assocation will be granted to them. Privacy Act The Association could from time to time supply names and addresses and services provided of its members to relevant person or organisations. It only does this if it thinks it is in the interest of members. If you do not want your name and address supplied in this way please advise.