General Anthroposophical Society Membership Application

I would like to become a member of the General Anthroposophical Society through the Anthroposophical Society in New Zealand.

Please provide the following information:

Name*
Prefix First Last
Gender
- Male
- Female
- Prefer Not to Answer
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Mobile
Email*
Place of Birth
Date of Birth
DD dash MM dash YYYY
Occupation
Notes
Data privacy protection
The General Anthroposophical Society uses personal data only for internal administration and maintains its own data and address database for this purpose.
The General Anthroposophical Society does not provide this data to any third parties, nor does it rent or sell any personal information.