Wellington Access Broadcasting Society Incorporated Membership Form
At least two people must sign on as paid members for each radio programme.
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Date
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Applicant 1
First Name
Last Name
Postal Adress
Email
Phone
Applicant 2
First Name
Last Name
Postal Address
Email
Phone
Programme Name
Payment
Wellington Access Broadcasting Society Incorporated Rules

I have been given a copy of the Wellington Access Broadcasting Society Incorporated Rules and agree to abide by them.

(Note that any information collected for membership of the Wellington Access Broadcasting Society will never be passed on to a third party unless required by law, and will only be accessible by the Society Council and Wellington Access Radio staff.)

Signed (Please type name here)
Date
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