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Advocates for the Tongariro River Membership Form |
Type of Membership | Family $30
Single $25 Associate $60 |
| I would like to make a donation of | |
| I emclose a cheque for (Membership + Donation) | |
| First Name | |
| Last Name | |
| Names of other members in family membership | |
| I agree to the above name(s) being published in the membership list included in the Advocates Annual Report. | |
| Address | |
| Suburb | |
| Town | |
| Post/Zip Code | |
| Country | |
| Phone | |
Please complete and then print this form, make your cheque out to: |
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