Rebus affiliation fees 2024/25

Our Club's current membership is:

We are pleased to make an additional payment by way of a DONATION to Rebus’s operational costs.
I confirm payment of $3.75 per member plus any donation has been transferred into your Bank Account # 12 3084 0009937 00
Total amount paid
Date paid

DayMonthYear
The due date of payment is no later than 20th April 2026
*REBUS understands that not all members will pay their subscriptions by 20 April. However, where new members join later in the year (without your Club having an obligation to pay additional levies), it would be very much appreciated if you could make an estimate of the likely total of existing members who will become financial, enabling payment of fees to REBUS on or before the due date of 20 April 2025
I affirm that the information provided above is correct and that I am authorised to make this declaration on behalf of the above Club.
Name / Position / Date
Please do not submit this form until AFTER fees and any donation have been transferred.
Should be Empty:

Rebus NZ Incorporated