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The Hon.Secretary Taranaki Alpine Club P.O Box 356 New Plymouth
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Dear Sir or Madam We the undersigned club members hereby nominate the under mentioned for membership of the taranaki alpine Club (Inc.) Name (s) ........................................................................................ ........................................................................................................ Address........................................................................................... ........................................................................................................ Phone(s).......................................................................................... Email(s)............................................................................................ Occupation...................................................................................... Date of birth if under 18 ............./................./.................................. Nominated by ...................................... signed ............................... Seconded by ....................................... signed................................. Membership type sought, circle one: Ordinary $40 Family $60 Student $30 Associate $30
Prices valid to 3/3/2011 I hereby accept nomination for membership of the Taranaki alpine club.
(signed by proposed member) ......................................................... |
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