The Hutt Timebank - Application Form
This is the first step toward becoming a member of The Hutt Timebank!

Once you have submitted this form, the next steps are:
- We contact your referees
- You attend a group orientation session
- The $10 membership fee is paid
- You create a profile on Community Weaver (our online trading software)

...then you will be ready to start trading!!

If you have any questions, please contact our coordinator, Kirsten, at huttsouthtimebank@gmail.com.

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Basic Information
First name *
Last name *
Known as
What you would like us to call you (if different from your "first name")
Address *
Suburb *
e.g. Petone, Normandale, Eastbourne etc.
City *
e.g. Lower Hutt, Upper Hutt, Wellington City, Porirua etc.
Postcode *
Copy and paste this link into a new window of your browser to find yours: http://www.nzpost.co.nz/tools/address-postcode-finder
Primary phone *
The phone number you'd prefer us to contact you on. Please enter using the format "04 5678912" or "023 456789"
Secondary phone
An alternative phone number we could contact you on. Please enter using the format "04 5678912" or "023 456789"
Email address *
Must be the same email address you will use on Community Weaver
Date of birth *
Please enter as dd/mm/yyyy (e.g. 14/09/1979)
Emergency Contact
The name and number of someone we can contact on your behalf in an emergency.
Name *
Phone number *
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