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Join as a Member

 

Join the Napier R.S.A as a member and experience many benefits of belonging to a family club. You also obtain recipocal rights to over 300 clubs Nationwide. Complete the below form and submit your payment of $35.00 by Direct Credit using the bank account below using your First Name, Last Name and Date of Birth as your reference.

Bank Account Number: - 01 0685 0272083 00

Once payment and this form is received, you will be sent a temporary membership card via post, so you can enjoy our facilities straight away. When your membership card arrives this can either be collected from the club or we can post it to you.

We may at that time ask for your preference details. This allow us to inform you (with your permission) of the specials and events that interest you.

Membership Details

* indicates a required field and you won't be able to submit your data until this section is completed

* One form must be used per membership application

* Membership is $35.00 per person

* If your partner wished to join they must complete this form also along with a payment of $20.00 using the bank account details above, using their First Name, Last Name, Date of Birth, Partners Last Name as their reference

 

Title (please select) *
Surname *
Given Name/s *
Postal Address *
Post Code
Date of Birth *
Occupation
Phone Number (H) *
Phone Number (W)
Fax
Mobile
Email *
Membership Type

(please select one)

To view types of membership please click here

Spouse Name


(if family membership has been selected)

Service Number
Please note for service and returned members we will contact you for your service details
   
Next of Kin
Surname
First Name
Address
Contact No

 

 

 

By Completing this form you undertake to abide by the rules of the Napier R.S.A. The Rules of the Napier R.S.A are available upon request from the Club Office.

Please note that an associate member may not wear the R.S.A lapel badge or qualify for welfare assistance from the association

 

 


Please Note this email form is designed to be used with Outlook Express or Netscape mail. If you use a web mail like Zfree, Freenet , Hotmail or similar, please email your request to us manualy to this address sue.seamer@rsanapier.co.nz .
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