Membership Subscription | Tourettes

Subscription Membership

$55 first year; renewal $30 per annum thereafter

Membership includes:

“Tic loud and tic proud. Give a tic” t-shirt
Priority registration for Camp Twitch
Invitations to member-only events
Discounts on merchandise and events
Access to a closed Facebook support group
E-Newsletter

Registration Form

Name*
First Name (person with tics) Last Name (person with tics)
(if under 18 please complete caregiver details below)
Date of Birth*

DD
MM
YYYY
Ethnicity*
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email
Phone
Diagnosis:
- Tourette Syndrome
- Tic disorder
- Tic disorder
When was Diagnosis made
Size T-Shirt
For Parent/Caregivers
Parent/Caregiver Name
Parent/Caregiver Last Name
Parent/Caregiver Email
Parent/Caregiver Phone
How did you hear about us

Payment by Internet Banking to:

Tourette’s Association of NZ
BNZ 02-0865-0077699-01

Please use surname and initials of TS individual as a reference.

Get in Touch. Get Involved.

Send us your message below



301 Tuam St. Christchurch

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Call Us: (03) 940-9420

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info@wordpress-408697-1638648.cloudwaysapps.com

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LEGAL

Governance Charter
Certificate of Incorporation
Privacy Policy
Terms & Conditions

HOW CAN YOU HELP?

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