NZSHCD - New Zealand Society of Hospital and Community Dentistry

User account

Thank you for your interest in joining the NZSHCD. In order to confirm your membership we first need to clarify your membership status. Please answer the following questions in order for your membership status to be assessed by our administrator.
Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Provide a password for the new account in both fields.Provide a password for the new account in both fields. If left blank, a password will be generated for you.
Hospital Information
(house officer/oral surgeon/restorative dentist/ CD etc.)
If you would like to share your Name, Hospital/Clinic Name and Email address in our member directory, please tick here.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.