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

Each sailor must complete this form separately.

For more information, check the NZLA website www.nzlaser.org
Or email us at secretarynzlaser@gmail.com.

First Name *
Your answer
Last Name *
Your answer
Gender *
Sail Number *
Set 'n/a' if not yet known
Your answer
Fleet *
Please select the fleet you are most likely to sail in
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Phone *
preferably the mobile you will have at the nationals
Your answer
Postal Address *
Please enter full street address including city or town - we do mail out to this address
Your answer
Yacht Club *
Your answer
ISAF Sailors Code
if registered with ISAF
Your answer
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.
Your answer
Total Amount You Will Pay *
Membership costs $60. 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.
Your answer
Intended Payment Method *
Please try to use Online Bank Payment, it's much easier for our busy secretary. Pay to the NZLA account 12-3086-0109480-00. Put your name and sail number in the reference fields. If you have to send a cheque, post it to: The Secretary, New Zealand Laser Association Inc, PO Box 46-243 Herne Bay, Auckland, New Zealand
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service