National Library of New Zealand
Harvested by the National Library of New Zealand on: Dec 13 2012 at 10:30:09 GMT
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Join Us

We are pleased you want to join us and enjoy all the benefits of GenderBridge membership. Please fill in the questions listed below as fully and completely as you feel comfortable doing. This information is confidential and goes directly to the organisation. Filling out any of this information will not result in being spammed by GenderBridge. Please note that fields marked with a red asterisk (*) are mandatory.

We look forward to having you with us!

Preferred Name: *  
     
Email Address: *  
Phone Number:  
Alternative Phone:  
     
Mailing Name:  
Mailing Address:  


How is it okay to contact you?  
Email
Post
Mobile Phone
Alternative Phone
  Facebook
Yahoo Group
Meetings Only
Do Not Contact


Gender Identity: *  


Date of Birth:  
 


Would you be interested in participating in fundraising activities?  


Would you be interested in attending OutLine phone training, and volunteering for 0800 TG HELP phoneline?  


Do you have any skills, training, or resources you would be willing to volunteer?


Is there anything you would like to see GenderBridge doing in the future?


Do you have any comments, concerns, questions, or suggestions?
Please note that when you click on the "Join GenderBridge" button, you will be asked to fill in a "CAPTCHA" to ensure that you are not a robot.

Thank you for your patience.