|
Future Times Subscription Form |
|
|
|
|
Futures Thinking Aotearoa
Future Times Subscription Form GST No 4298 1044 TAX INVOICE (please photocopy and retain if copy needed)
Subscription within New Zealand $40 (GST inclusive)
Please complete the details below and return to Futures Thinking Aotearoa, PO Box 12 008, Wellington with payment or by e-mail (
This email address is being protected from spam bots, you need Javascript enabled to view it
) if the payment is by Direct Credit
Payment method (tick ) Cheque enclosed (..........)
Or Direct Credit to: 02 0585 0025 130 00 (New Zealand Futures Trust, Bank of NZ, North End, Wellington branch quoting sub) (..........)
NAME:________________________________________________
ADDRESS:_____________________________________________
______________________________________________________
PHONE:______________________
FAX:___________________________
EMAIL:________________________________________________
Under the terms of the Privacy Act 1993, I acknowledge that you are retaining my name and address for the purposes of mailing information related to my subscription.
Signed....................................................................................
Date......................
|