Hauraki Kayak Group Inc
Membership Application Form

New members or returning members with new details please fill in this electronic form.
Membership Type
Please select your membership from the following options.
Single Member ($95)
Family ($125)
Senior Single ($47.50)
Senior Family ($62.50)
Country (Members outside of Auckland) ($45)
Category
Key
A key to the club house can be arranged for a $30 non refundable deposit
Yes
No
Key
Name *
List all member names here:
Your answer
Address *
Your answer
Phone
Your answer
Mobile
Your answer
Email Address
Please provide us with a contact email address(s), we communicate mostly via email to reduce the groups postal costs.
Your answer
Second Email Address
Your answer
Data Collection Permission
I consent to the collection of the above details by the Hauraki Kayak Group for the purpose of Club Membership Records and for it to retain, use and disclose these in the club publications when necessary for contacts. I acknowledge my right to access and the correction of this information. This consent is given in accordance with the Privacy Act 1993.

By submitting this information you are agreeing to this statement.
Hauraki Kayak Group Contact Details
Hauraki Kayak Group Inc.
PO Box 46146
Herne Bay
AUCKLAND 1147

email: kayak@hkg.org.nz
Payment Details for both new and existing members
Option 1
Internet banking into the club’s ASB account 12 3035 0503920 00 with your full name as the bank reference.

Option 2
Please send a send with cheque made out to Hauraki Kayak Group Inc. to:
The Treasurer at the address above.
Submit
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