Nelson Speleological Group Membership Form
Please only complete this form (and pay your fees) if you have already had your membership approved by the club, eg by attending a club meeting or trip and asking to become a member.
Email *
First Name *
Last Name *
Membership Status *
NZSS number (if you have one and know it)
Date of Birth *
MM
/
DD
/
YYYY
Address *
Post Code *
Preferred Phone Number *
Other Phone Number
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)
Do you want to donate to NZSS Search and Rescue Fund?
Please enter donation amount
Do you want to donate to NZSS Conservation Fund?
Please enter donation amount
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. 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.
Required
A copy of your responses will be emailed to the address you provided.
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