Nelson Speleological Group Membership Form
First Name
Your answer
Last Name
Your answer
Membership Status
NZSS number (if you have one and know it)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
Post Code
Your answer
Preferred Phone Number
Your answer
Other Phone Number
Your answer
Email Address
Your answer
Type of NSG Membership
Note that all NSG membership options below include annual membership to the national body NZSS (NSG passes on $35/Adult to NZSS)
If you are signing up as a family, please provide the other family member's names, DOBs, and email addresses
(You must live at the same address as other family members)
Your answer
Do you want to donate to NZSS Search and Rescue Fund?
Please enter donation amount
Your answer
Do you want to donate to NZSS Conservation Fund?
Please enter donation amount
Your answer
Have you paid the membership fee by online banking?
Account Name: NSG, Bank: Westpac, Account Number: 03 0703 0452222 000, Reference: YOUR NAME, Particulars: Member fees
How did you hear about the club?
How do you want your NZSS newsletter delivered?
Unless you really want a hard copy make life easy for us and just get it by email
Do you agree to the NSG fineprint?
1. Fees are due from 1 September each year. Half-year fee of $20 applies from 1 March for new members (although if you sign up in July or Aug we'll just roll you over to the next years membership without charge). 2. One copy, either paper or electronic, of NZSS publications will be sent per family membership. 3. Donations made to NZSS Search & Rescue, conservation funds are used only for those funds. 4.Privacy Act: Information NZSS collects about members is for the purposes of the NZSS dealing with those members. Members are entitles to reasonable access to and correction of information held about them. 5. Unless stated by you, publishing of your membership details for purposes such as NZSS and/or club membership lists, (paper or electronic), will be deemed as accepted. NZSS and your club may provide copies of the membership list, (paper or electronic) to Waitomo Museum, Department of Conservation, and other entities deemed as appropriate. 6. I consent to receiving electronic messages and information regarding the NZSS, clubs or any other products, service, or promotions offered by NZSS and NSG and agree, pursuant to the Unsolicited Electronic Messages Act 2007, that the person sending any such message need not include a functional unsubscribe facility in the message.
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