Saturday, 31 July 2010
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Membership Form PDF Print E-mail

Print this form,  fill in your details, and post, fax or email details to Futures Thinking Aotearoa.


GST No 4298 1044  TAX INVOICE (retain if copy needed)

Tick as appropriate.

Membership fees (.......) are $50/year or a concession rate of $40/year (on request) which entitles you to receive Future Times, our quarterly journal, be invited to seminars at discount rates and participate in Futures Trust decision making.


Corporate membership/sponsorship (.......) is $1000/year.


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 made out to New Zealand Futures Trust (..........)

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......................

 

 
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