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CISV NEW ZEALAND Membership Subscription Form for the 2018-2019 financial year
Use this form to register your CISV membership for the financial year ended 31st March 2019. Membership benefits include discounted Minicamp fees, and voting rights at CISV Chapter meetings and the AGM. Please note that to be able to vote, parents need to register as members, along with their children.
How to use this form:
Please fill out the details for the membership below, entering the details of each person who wishes to be a CISV member separately. Payment must be made by Internet banking at the time you complete this form. Bank details are listed below.
Family name for this membership: *
Your answer
Address *
Your answer
Email (for main contact re this family membership) *
Your answer
Phone number (for main contact re this family membership) *
Your answer
Email (children's)
Your answer
How to pay your CISV membership Subs:
Please pay your subs to the CISV bank account by Internet Banking to Kiwibank 38-9016-0449903-01, using the family name shown above and "SUBS" as your reference. SUBS ARE $60 PER FAMILY. (NB: part-year subs are available to NEW MEMBERS who join part-way through a financial year: $30 if after September. This option is NOT available to current/previous members paying subs late, in which case the backdated full year's $60 subs are due).
Please complete the details for all family members who wish to be CISV Members. We welcome parent members - so please sign up (NB: date of birth details not necessary for parent members!)
Member #1: FULL NAME: *
Your answer
Member #1: Date of birth: *
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Member #2: FULL NAME
Your answer
Member #2: Date of birth:
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Member #3: FULL NAME
Your answer
Member #3: Date of birth:
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Member #4: FULL NAME
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Member #4: Date of birth:
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Member #5: FULL NAME
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Member #5: Date of birth:
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Member #6: FULL NAME
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Member #6: Date of birth:
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Skills I can bring to CISV:
Do you have any contacts who could provide donations of goods to CISV in the following areas:
We welcome donations! *
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Thanks for completing the CISV Membership Form
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