Advocates for the Tongariro River
Membership Form
Renewal or New Member?
Renewal New Member
Type of Membership   Family $30
Single $25
Associate $60
Membership Year
I would like to make a donation of
I will pay (Membership + Donation) by Internet banking
Your First Name
Your Last Name
If a family membership, please complete the next two items.
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
Email

When complete, please email the form to [email protected]

Internet Banking

Please pay to account no. - 02 0200 0106299 000
Add your name as reference.