Club Registration

• Kaiapoi Photographic Club Registration •

Kaiapoi Photographic Club

Membership type

I am a PSNZ member so the club will not have to pay an affiliation fee for me

Individual member contact information

First name

Last name

Street address

Street address line 2

City

Phone number

Email address

example@example.co.nz

Additional names for family membership

Name

Email address

example@example.co.nz

Name

Email address

example@example.co.nz

Name

Email address

example@example.co.nz

Payment by internet banking

03 1585 0022436 00

Please use your name as the reference