Click PDF or WORD icon below to download Membership Form
Manukau Model Power Boat Club
Application for Membership & Membership renewal form
Membership fees due for the period June 2014 to June 2015
Enter your Fee here $__.__
Membership fees are as follows: option A: Full adult membership $120.00
Option B: $40.00 Club Subs and $10each race day
Email the Secretary for club bank account details if you wish to direct credit your fees
Please sign the Privacy Statement below and return form to Club Treasurer with your fee payment.
I consent to the collection of information related to my name and address for the purpose of affiliation to Manukau Model Power Boat Club.
I further consent to this information being used as appropriate with the news media for publicity purposes.
I acknowledge my right to access and, if necessary, correct this information.
This consent is given in accordance with the privacy Act 1993.
Signed: __________________________________ Date: _________________
Receipt # _______________