NZJSA Navigator Membership Form

NZJSA Navigator Membership
Membership Type:*

Navigator - $450
Name:*

First NameLast Name
Birth Date:*

DayMonthYear
Address:*

Street Address

Suburb

CityState / Province

PostcodeCountry
E-mail:*
example@example.com
Phone Number:*

Area CodePhone Number
Emergency Contact
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
Privacy Statement:
We collect your personal information in order to maintain a NZPBF licence register. Besides the NZJSA Secretary, this information is shared with the NZPBF in order to issue licences. If you choose not to enter the required details, we will not be able to accept your membership registration. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you'd like to ask for a copy of your information, or to have it corrected, please contact the NZJSA Secretary at nzjetsprint@gmail.com.
Membership Declaration:*

I have read, understand and agree to abide by the New Zealand Jetsprint Association Rules and Constitution.
Once you submit your application, an invoice will be emailed to you with payment instructions to complete your membership registration.

Thank you!
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NZJSA Navigator Membership