Application for LPMS Membership

Read about the benefits of becoming a member and the eligibility and terms and conditions of membership.


Once you are ready to apply please read this carefully before you begin to fill in the form:

Please provide full details and upload supplementary sheets where required. Please note this form is quite extensive and will require you to gather a lot of details and documents so please take a look at the form carefully before you start to fill it in and make sure you have all the required information to hand. For every principal, partner, professional and technical staff member you will have to enter information.

If you would prefer to fill the form in and post it to us you can download a copy of the form here.

A checklist for prospective members is also available for download.

1. Contact Details


2. List all Principals or Partners

Principal One

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

Principal Two

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

Principal Three

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

Principal Four

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

Principal Five

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

Principal Six

Please detail previous experience, including name of employer, position, type of work, degree of responsibility, relevant dates, etc. This is a mandatory requirement.
please attach a copy of their NZPI, NZIS or NZIQS CPD record card for the last two years.

3. List all Professional Staff

Professional Staff Member One

Professional Staff Member Two

Professional Staff Member Three

Professional Staff Member Four

Professional Staff Member Five

Professional Staff Member Six


4. List all Technical Staff

Technical Staff Member One

Technical Staff Member Two

Technical Staff Member Three

Technical Staff Member Four

Technical Staff Member Five

Technical Staff Member Six


5. Other


6. Eligibility for Membership

To be eligible for membership the applicant or at least one principal of an applicant firm must be a Member of one of the eligible bodies


7. Additional Information


8. Referees

Please supply the names of two referees that we can contact in relation to your application:

Referee One

Referee Two


9. Form Submission

Payment Options

The Society’s membership joining fee (non-refundable) is $287.50

Direct payment: Payment may be made direct to the LPMS bank account with Westpac. The account number is 03-0531-0147239-00. Please insert your name in the reference field.

Cheque: A cheque may be sent by post to LPMS c/o Pat Sheehan, Kendons Chartered Accountants Ltd, PO Box 30459, Lower Hutt 5040