BRA membership form

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BRA membership form

Use this form for New applications and Renewal of your membership.

What is the reason you are using this form? *

New Application

Renew Membership with changed personal details

Your first name (required)
*

Your last name (required)
*

Street Address, Suburb and City

Your Email (required)
*

Your phone number

Rules of Incorporation for the Birkenhead Residents Association *

I understood my membership is subject to the BRA Rules of Incorporation (see website)

Required

Membership Level:
Please pay following the guidelines on the website *

Individual $10

Family $20

Business $20

If you would like to make a donation, you can add that to your membership fee or make a separate payment.

$10

$20

$50

Other:

Clear selection

Skills I can offer - if you can offer any of the following skills, please let us know

Town planning

Legal

Communications

Website management

Delivering flyers or putting up posters

Monitoring local board meeting agenda

Monitoring Auckland Council planning changes

Other:

How I can help

Please let us know if you have anything else you’d like to help with in regards to the Birkenhead Resident’s Association.

Receipts

Following normal business practice, we do not issue receipts. If you require a receipt eg for claiming your donation against tax, please tick this box

Please send receipt

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