Please print out this page, complete the form and post it with your cheque for NZ$20 to the address below.

Link to form in Microsoft Word format.

Membership Application/ Renewal

Name:

Address:

Phone:                                                               Date:

Email:

Maritime interests:

Work History/ Occupation

How did you hear about us?

May we use this information in a directory for members?    Yes/ No

Subscriptions of NZ$20 are due in July each year.

Post your completed form to:

NZ Women's Maritime Association Inc.
PO Box 581
Auckland
New Zealand