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Southern Lakes NZDA Membership Application
Please see website for full benefits of joining
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Email
*
Your email
Database information
Under the terms of the Privacy Act 1993, I acknowledge that you are retaining my name, email address and details for the purpose of emailing further information on NZDA and related matters only.
Surname
*
Your answer
First/Given Name
*
Your answer
Street Address
Your answer
Suburb
Your answer
City/Town
Your answer
Post Code
Your answer
Mobile number
Your answer
Home number
Your answer
Occupation
Your answer
Ethnicity
European New Zealander
Maori
Pacific Islands
Asian
Middle Eastern
Latin American
African
Other
Reason for joining - tick all that apply
Want to improve or learn more hunting skills
I am joining for the insurance cover
Want to know about areas to go hunting
Want to meet like minded people
Want to be part of a nationally recognised body
Recently new to the area
Joining makes it cheaper to use the club huts
I want to find out about a range (Don't have one in Qtn yet)
Firearms Details
Complete if you have a licence
Firearms Licence Number
Your answer
Firearms expiry date
MM
/
DD
/
YYYY
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Membership
Membership is made up of a National Capitations cost, Branch Subscription and various levies
Type of membership Prices for April 2020 - March 2021
*
Senior (Adult) $125
Junior (must be less than 18 years old when joining) $35
Student (must be attending a tertiary institute or undergoing an apprenticeship - proof may be required) $49
Affliate (already a member of another Branch) $30
Superannuant (must be over the age of 65 when joining) $65
Family (can be partner, spouse, children or grandchildren) $5
Required
Family Members (Name, surname and date of birth) $5 pp
Your answer
How would you like to pay for membership?
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Choose
Send me an invoice (includes credit card link)
I'll bring cash to the meeting
I'll transfer money via electronic banking
I have paid already - notes below
Anything else we should know for your membership?
Your answer
Are you registered or interested in taking part in our Hunting training course?
Yes
No
Maybe
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