Advocates for the Tongariro River
|
Type of Membership |
Family $30
Single $25 Associate $60 |
| Year | |
| I would like to make a donation of | |
| I will pay (Membership + Donation) by Internet banking | |
| First Name | |
| Last Name | |
| Names of other members in family membership | |
| I agree to the above name(s) being published in the membership list included in the Advocates Annual Report. | |
| Address | |
| Suburb | |
| Town | |
| Post/Zip Code | |
| Country | |
| Phone | |
|
When complete, please email the form to [email protected] Internet BankingPlease pay subscription to account no. - 38 9000 0863130 000 |
|