NZ Laser Association Membership Form
This form is to join or renew your membership of the New Zealand Laser Association.

Membership costs $75.

Each sailor must complete this form separately.

For more information, check our website ilca.nz
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Gender *
Sail Number *
Set 'n/a' if not yet known
Fleet *
Please select the fleet you are most likely to sail in
Date of Birth *
MM
/
DD
/
YYYY
Email *
Phone *
preferably the mobile you will have at the nationals
Postal Address *
Please enter full street address including city or town - we do mail out to this address
Yacht Club *
ISAF Sailors Code
if registered with ISAF
Other sailors you are paying for
If you are also paying membership for other sailors, please enter their name(s) below. ** But each sailor must still complete one of these forms separately.
Total Amount You Will Pay *
Membership costs $75. If you are also paying for others, tell us the total you intend to pay. ** But each sailor must still complete this entry form separately.
Payment
Please use Online Bank Payment into the NZLA account 12-3086-0109480-00. Put your name and sail number in the reference fields.

If you are unable to pay that way please contact : secretarynzlaser@gmail.com
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
Google Forms