Membership Application Form
I wish to join the Manawatu Hindu Society as a bona-fide member and will abide by the rules and the constitution of the Society. I declare that I am over the age of 18 years.
First Name: ..........................................................................
Surname ...............................................................
Postal Address: ....................................................................................................................................................
……………………………………………………………………………………………………………………
Email Address: ………………………………………………………………………………………………….
Mobile:.................................................................. Home Phone: .......................................................................
Annual subscription fees per member: $100.00
Please describe why would you like to join the Society:
I give my consent to the Society to share my contact details with other members of the Society.
Signed: ...................................................................................Date: ......................................................................
Please return the form to the Secretary of the Society at the above email or postal address.
| Payment options:
By cash to the Treasurer: Cheque payable to: Manawatu Hindu Society Internet banking: |
Donation:
$20 $ $60 $80 $100 $200 $400 $500 Other $....... |
Life Membership
Donation of $5,000 or more entitles life-long membership |
NB : Any donation of $5.00 and above is Tax claimable. All payments will be receipted.
| [Official use only]
Executive Committee : Approved / Declined Meeting Date: ............................................................................. Secretary’s Name: ............................................................................................................................................. Signature: ............................................................................. Date: .................................................................. |