Membership application form
Print out and send, with subscription, to
The Treasurer, AHSNZ (Inc.), PO Box 12-009, Wellington 6038, New Zealand
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AHSNZ Annual Subscription (year to 31 Mar 2011) - (circle amount enclosed)
| Full (ordinary) member: | $NZ48.00 |
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Junior member - under 16 years: |
$NZ20.00 |
| Associate member: | $NZ5.00 |
| Overseas surface mail: | $NZ57.00 |
| Overseas air mail: Australia, South Pacific: all other countries: |
$NZ57.00 $NZ70.00 |
I enclose payment by:
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Cheque | ||||
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Visa |
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Mastercard |
Credit Card details:
| Number: | Expiry: |
| Signature: | Date: |
| Sub banked | Card Mailed | Back issues | |||
| Database | Data Backup | Membership Number |