MEMBERSHIP APPLICATION

 


Organisation's Name

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Postal Address
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Email
address for Notices

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Website

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Mission
Please state the main purpose/aim of the Organisation.
 

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Contact Name, Position & Signature  

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Subscription: 1st August 2016 to 31st July 2017

$30.00

Donation:
Donations over $5 may be eligible for a tax rebate.
We will post a receipt on request


$

Please post your cheque to
  The Treasurer
  Wellington Region Heritage Promotion Council Inc
  10A/1 Grant Rd, Thorndon, Wellington 6011
or Direct Credit
 
Westpac, Porirua Branch 030547-0936929-00
  Please ensure your name is included. Thank you.

 

For further information please contact Phil Parnell, Chairman, (04) 479 2239   phil.parnell@wrhpc.org.nz