Wellington Underwater Club 2017-18 Membership
Wellington Underwater Club Incorporated
Membership for the period from 1st September 2017 to 31st August 2018
Subscription Details
Subscription payments can be made directly to the Club's bank account:

ANZ, Lambton Quay, account:
01-0505-0088263-00
Please include your name for reference

Don't hesitate to contact WUC by email to wellington.underwater@gmail.com with any questions.

Subscription Details *
Early bird discount for membership renewals is only available for subscriptions received before the 30th Nov 2017. The standard renewal fee of 50 NZD applies for payments from 1st Dec 2017.
Type of Payment
Payment details
Please note name of committee member who received the payment in the box below.
Your answer
Personal Details
First Name *
Your answer
Family Name *
Your answer
Street Address *
Your answer
City *
Your answer
Suburb *
Your answer
Postal Code *
Your answer
Tel (mobile) *
Your answer
Home ph (optional)
Your answer
Email *
Your answer
What is your age? *
Please Note
Email addresses are used for the purpose of organising Club activities and will be shared between participating Club members. Wellington Underwater Club is affiliated to the New Zealand Underwater Association (NZUA) who updates all members through regular email newsletters.
Emergency Contact
Full Name *
Your answer
Relationship *
Contact phone number *
Your answer
Please provide a second contact if your main emergency contact is your regular dive buddy
Full Name, Relationship and Contact phone number
Your answer
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