Waitara Genealogy Membership Application
| Name: | ____________________________________________ |
| Address: | ____________________________________________ |
| ____________________________________________ | |
| ____________________________________________ | |
| Telephone: | ____________________________________________ |
| email: | ____________________________________________ |
| NZSG Member: | Yes / No |
| NZSG Number: | ____________________________________________ |
| Donation: | ____________________________________________ |
| Amount Enclosed: | ____________________________________________ |
Waitara Branch Membership Subscriptions:
| Youth: | $5.00 |
| Individual: | $15.00 |
| Family: | $20.00 |
| Organisation: | $20.00 |
Waitara Branch Membership Subscriptions if a
New Zealand Society of Genealogists (NZSG) Member:
| Youth: | $5.00 |
| Individual: | $10.00 |
| Family: | $15.00 |
| Organisation: | $15.00 |