Join the Supporters Programme

Silver Supporter

From $150per month

Gold Supporter

From $417per month

Diamond Supporter

From $1,667per month

To join the Supporters Programme, please complete and submit the form below. We will then be in touch to complete your application and set up your preferred payment method. If you have any questions please email ruth.jasmat@nzchiro.co.nz

Your details

First Name

Last Name

Company/Practice Name

Would you like correspondence relating to your support to be addressed to you personally or your practice/company?

Me personallyMy practice/company

Telephone - Business

Telephone - Mobile

Postal Address

Monthly Giving

I would like to support the New Zealand College of Chiropractic Centre for Chiropractic Research in the following way:

Amount per month (New Zealand Dollars)*

*Minimum 3 month commitment.

Communications

We like to keep our supporters updated about the research we do and what is happening at the Centre and the College. If you would like to OPT OUT of receiving emails from us, please indicate this below:

Please DO NOT send me email updates from the Centre for Chiropractic Research.
Please DO NOT send me email updates from the New Zealand College of Chiropractic.

Additional Comments

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