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membership form


Click PDF or WORD icon below to download Membership Form







Manukau Model Power Boat Club

Application for Membership & Membership renewal form


Full Name:


Telephone Number:

Mobile Number:

Email Address:

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


This email address is being protected from spambots. You need JavaScript enabled to view it.


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 # _______________