Friends of Arataki - Membership Application

Name Mr / Mrs / Miss / Ms (Please print):

 
Postal Address:

 

 

 
Phone (home):
email address:

 

 Membership Fee -

Standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20.00 p.a.   
Student . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $20.00 p.a.   
Groups  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ie. Schools, Clubs etc.) $20.00 p.a.   
Gift Membership (Please enter fee level above)  Recipient's Name, Address, Phone No.

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 $20.00 p.a.   

 Donations -

Sponsor a Park Seat (with or without plaque) POA
Donation $

 Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . .

 

 

Cheque(s) attached

Payment can be made to Friends of Arataki either at the visitors desk at Arataki Visitor Centre or posted to PO Box 60-228, Titirangi, Waitakere City. Donations/fees over $5.00 are tax deductible.

Please print this form, complete it and hand/post as above.

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