Welsh Society of Wellington NZ

Subscriptions are for the period 1^st April - 31^st March each year:

Except that for people joining the Society for the first time in the months of January, February and March, their membership extends until 31st March of the following year.

Print this page and send this information with your cheque (made out to Welsh Society of Wellington please) to the Treasurer
C/o
38 Whaui Street
Vogeltown
Wellington 6021

(Please print clearly)

Name(s): ________________________________

e-mail: ________________________________

Address:

___________________________________________________

_____________________________________ postcode______

Phone: (0__) ____ ________

From where in Wales? ________________________________

I consent to my details appearing on a list only for Society members use as a means of contacting me.
(strike out the line above if you do not consent)

I enclose (circle one value)

Ordinary membership - individual $15 or family $25

Country membership - individual $7.50 or family $12.50
(Country members live more than 40 kilometres from Wellington - beyond Upper Hutt or Pukerua Bay)

Signed: ________________________________ Date: ___________