Friends of Toi MAHARA

Friends of Toi MAHARA

Membership joining form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number. (Optional)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am interested in:*

Arts & artistsArt educationBooksCultural eventsExhibition & art toursFilmsMusicVolunteering - supporting committee and gallery staff for events and openingsOther (please specify)
Membership Type*

$50 Adult (individual)$75 Adult (joint)$90 Family$25 Student (ID required)I want to make someone's day by gifting a membership (select one of the above) and enter recipient's details below.
Name of second person (Joint)

First NameLast Name
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number. (Optional)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Yes! I would like to be more involved with the organisation of the Friends. Please contact me with how I can help.
Our manaakitanga supports Toi MAHARA to deliver its mission while enhancing the diversity of arts experiences for our members.
Payment

Please fill in the form with total amount you wish to pay. If you would like to gift a membership or make a donation to the gallery, please select internet banking as your payment method.
Membership $
Gift Membership $
Donation to Toi MAHARA $
Total $
Payment Type*

Internet bankingCredit card
Bank account details:

The Mahara Gallery Trust
38-9019-0838904-04

Please use your name and 'FOTM' as the reference.

Membership type

Adult (individual)

$50.00NZD for each year

Adult (joint)

$75.00NZD for each year

Family

$90.00NZD for each year

Student (ID required)Please email us a copy of your ID to accounts@toimahara.nz

$25.00NZD for each year

Total

$0.00NZD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Friends of Toi MAHARA

Payment