NZVRS Membership Application Form

Please complete and post with your cheque to:

Post to:	Subscription Rates:    {Sorry no credit cards accepted}
NZVRS	New Zealand residents;	NZ $30.00
PO Box 13873	Australia & South Pacific;	NZ$35.00 (Aust.$30.00 )
Onehunga	North America & Asia;	NZ$37.00 ( US $30.00 )
Auckland, 1061	U.K. & Europe;	NZ$37.00 (UK £20.00 or €25)
NEW ZEALAND	Tel: 0800 187 161	Email: nzvrs@pl.net

Please Note:

o Personal cheques in major currencies are accepted, but no credit cards.

o Overseas rates include Airmail postage.

o Exchange rates are approximate only.

o Subscription year = calendar year = 1 January ~ 31 December.

o Subsequent renewal rates include E-copy options

I wish to apply for membership in the NZVRS and agree to abide by the Constitution of the
Society. (Viewable at http://www.nzvrs.pl.net/aaa/constut.pdf )

Name:
First, Initials & Surname please;

Postal Address;

Telephone Number;

Email;

Signature;

 Interests; 1012

Collecting ~	Restoration ~	Research ~
Early Broadcasting ~	Early manufacturing ~	Other;

Privacy Act : Please indicate if your residential address is confidential and to be withheld from other members.