NZ Media World

Independent Journalist Collective Registration

Use this form to register as a member of the Independent Journalist Collective (IJC)

* First Name

* Last Name

* Email (Will not be shared)

* Phone (Will not be shared)

* Address (Will not be shared)

* A photo of You in JPG format that is 500 x 500 pixels in size

Organisation/Channel Name

Social and Website URLs (one per line)

Estimated total number of social and email followers

Organisation/Channel logo in JPG format that is 1000 x 215 pixels on a white background

I agree to follow the IJC Code of Ethics and Charter

Yes

I agree to pay an annual membership fee of $90 + GST

Yes

* Enter the image code

* denotes required field