Membership Form

Membership—$ for 2025

username: 5-10 alphanumeric characters only email: properly formatted with @ symbol
password: must contain at least one number, one uppercase and one lowercase letter, and at least 8 or more
phone number: format +xx-xxx-xxx-xxx
other fields: alphanumeric characters only

Username

Email address

mypassword

myconfirm

Personal Details

* required for all members

Title

First Name

Last name

Address1

Address2

City

Postcode

Phone

Backup email

Employment Details

required for full members;
if your school is not listed here please contact NZIC admin to add to list

Position

City

Specialty

select all that apply

Analytical and Environmental Chemistry

Biological Chemistry

Chemical Education

Industrial Chemistry

Inorganic and Organometallic Chemistry

Materials and Polymers

Medicinal Chemistry

Organic Chemistry

Physical Chemistry

Structural Chemistry and Crystallography

Theoretical and Computational Chemistry

Sponsor

Sponsor (Teachers can put their own name and email again here)

First name

Last name*

Sponsor email*

Branch

I understand and consent to the New Zealand Institute of Chemistry holding my information as described in the Privacy policy*

I understand and agree to uphold the Rules and Code of Ethics of the New Zealand Institute of Chemistry*

Credits