Renew Membership
Member Name (If family membership, please enter all names on this form) *
I wish to renew my membership to NEC Christchurch for the new year 01 June 2021 to 31 May 2022 *
Required
Please enter your correct email address *
Please enter your correct postal address *
Please enter your correct postal code *
Please enter your correct mobile contact number *
I confirm that I am a current ESNZ member *
I agree to abide by all the NEC Christchurch Terms and Conditions of membership (these are available on our website) *
Required
I have made the payment of $220 in full to NEC Christchurch Bank Account # 06 0837 0131977 00 with my name and membership as reference **$200 if paid in full by 30th June 2021 *
Any comments regarding your membership renewal?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy