Become a financial Member of Tongan Health Society Inc 

Applicant Details: Voting Member
Name *
Name
Phone *
Phone
Date of birth
Date of birth
Membership Type *
(if family membership list family members below – maximum number is 6 only)
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Declaration *
Membership is subject to the following terms and conditions (compulsory questionnaire)
1. All members must be a NZ Citizen Resident (evidence of residency / citizenship needed)
2. Do you have any outstanding payments to the Society
3. Have you been a previous member
4. If yes, since when / number of years of membership
5. Are registered at Langimalie clinic
6. If yes which clinic
7. Why do you want to be a member of the THS?