Manawatu Jazz Club: membership
Enter your details below so that we can keep our membership records up to date.

Subs for adult members are $15. No fees apply to students.

Payment can be made in person at a Club Day, or via Internet Banking to:

A/c # 03-0726-0484745-00
 Please enter your Surname and initials in the Reference field.

Sign in to Google to save your progress. Learn more
First name *
Last Name *
Phone number
Email Address
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy