MTSC Application for Membership
Print out and send with subscription to:
The Membership Secretary, Manawatu Tramping and Skiing Club. PO Box 245,
Palmerston North.
Please make cheques out to "Manawatu Tramping and Skiing Club Inc", or see http://www.mtsc.nz for details about Internet banking.
Full Name: ___________________________________________________
Address: _________________________________
City: ____________________
Phone (Home) (____) _________ Mob: (____) _________
(Work) (____) _________
Email: _____________________________________
Date of Birth: ______/______/_________
Applicants signature:
___________________________________________________
A Family Membership may include you, your partner, and children under 20
years all living at the same address.
Juniors must be under 20 years old.
Membership type |
Receive newsletter by |
Enter amount |
Email only |
|
Family |
$55 |
|
|
Adult |
$40 |
|
|
Junior (<20y) |
$25 |
|
|
For a Family membership, please enter the names and dates of birth of other family
members:
_________________________________________________________________/_____/_____
_________________________________________________________________/_____/_____
_________________________________________________________________/_____/_____
_________________________________________________________________/_____/_____
Emergency Contact: (Someone who should be contacted if there is an emergency)
Full Name: ___________________________________
Address: __________________________
Phone: (____) ___________ Mob: (____) ___________
__________________________
Indicate any previous /membership of any Tramping, Skiing or Outdoor clubs:
______________________________________________________________________________
______________________________________________________________________________
Please list any skills, craft or profession that you are prepared to use for the
benefit of the Club:
______________________________________________________________________________
______________________________________________________________________________
Proposer:_____________________________(sign) _______________________________(print)
Seconder:____________________________(sign) _______________________________(print)
(Proposer or seconder must have been current members for at least one year)
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