Timber Design Society

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Membership Application Form

* indicates compulsory fields

Title:

First Name *

Surname *

Company Name

Enter business and / or home contact details *
Business Contact		Home Contact
Email:		Email:
Phone:		Phone:
Fax:		Fax:
Address:		Address:

Country:*
Preferred Contact: Business Home

Qualifications:

Occupation:

Date of Birth: *

Day	Month	Year

Areas Of Interest

Please tick the membership category *

	Individual	(NZ)	$100
	Individual	(Overseas)	$120
	Student	(NZ)	$20
	Corporate		$575
Amounts shown are in NZ$ - and include GST where applicable

PLEASE NOTE: IPENZ as the Group’s administrator levies each person or organisation belonging to any group it administers – a $51.75 Service Centre fee (gst inclusive). This fee, irrespective of how many affiliations the person or organisation has, remains the same.

Please Tick if you are an IPENZ member

DO NOT send any money with application – you will be sent an invoice.

Declaration: In applying for membership of the New Zealand Timber Design Society Inc., I hereby agree that, in the event of my admission I will be governed by the rules of the Society for the time being in force or, as they may agree hereafter be amended and that I will promote the objects of the Society as far as may be in my power. When you have completed your membership request, click the submit button below