Membership Registration Form - as at 12 Feb 20

Annual Membership

Membership runs for 12 months from the date your membership is accepted. We will send you a reminder to renew your membership the month it is due.

Persons name

First name

Last name

Persons address

Address line 1

Address line 2

Address line 3

Address line 4

Town/Suburb

City

Postcode/Zip

Email address *

Phone number

Membership

Please select your membership category

Amount

Total amount

Membership Payment Method

Membership Payment method

Stripe (Secure payment gateway)

Internet Banking
Make deposit to account
Biodiversity Hawke's Bay Inc - 03-0698-0149156-000 (please include your name and either 'Membership' or 'Donation' in the details)

Request invoice
Please email the following details through to info@biodiversityhb.nz so an invoice can be emailed out to you:

Name
Business name (if applicable)
Address
Email address

Thank you for joining Biodiversity Hawke's Bay. It's great to have you on board, and we look forward to seeing you at future events.

Watch out for our next newsletter and check out our Facebook page for loads of updates and interesting information.