continence nz

Application For Financial Support

Please note - members are able to apply for the following financial support after membership of three consecutive years:

Your application will be considered by our Executive Committee.

Please provide your bank account details. These will be used in the event that your application is approved.

Email Address:

Your Full Name:

DHB / Employer / Practice:

Job Title:

Conference or education event that you will be attending:

Bank Account Name:

Bank Account Number:

Anticipated learning outcomes from attending this event: