Project Steam Dunedin Inc                                              Home
2 Nicholas Street

Portobello
Dunedin

 

 

Membership Application Form

 

 

Dear Sir/Madam

 

Please enroll me as a member of your society

 

 

Name

 

 

Address

 

 

 

Occupation

 

 

 

Telephone

 

 

 

Email address

 

My Subscription of $              for the year ending 31 July 20         is enclosed

 

 

 

Signature ………………………………………………….

 

 

Membership Fees

Individual                    $20

Family                        $30

Unwaged/Student     $10

Life Membership      $250

 

I am interested in doing volunteer work    (       )