Application to Join
Mensa New Zealand Inc.
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I wish to apply to join Mensa NZ Inc.
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Mensa New Zealand Inc. will contact me with testing dates available.
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I wish to be contacted via:
postal mail / email / fax (please circle one)
Name:
Street Address:
Postal Address: (if different from above)
Date of Birth:
Telephone (Home)
(Work)
(Mobile)
Email address:
How did you hear about “Mensa”?
Please complete this form and send to:
Email: National Testing Officer test@mensa.org.nz
Post: Mensa New Zealand Inc.
P.O. Box 5765
Wellesley Street
Auckland 1141
New Zealand |