Subscribe

 ANNUAL SUBSCRIPTION FOR 2016/17 

Family Membership $30 (inc $5 to ERV support)/ Individual membership $20 

Name: 

_______________________________________________________________________________ 

Address: 

_______________________________________________________________________________ 

___________________________________________________Post Code: ___________________ 

Kinloch Address 

_______________________________________________________________________________ 

_______________________________________________________________________________ 

Phone 

_______________________________________ Mobile _________________________________ 

Email 

Please print 

 

_______________________________________________________________________________ 

Please supply email for all communication. 

If family subscription please state number of people covered. ____________________________________________ 

If you would like to become a member of Kinloch Community Association please print this form and send it to:- 

Kinloch Community Association Inc, PO Box 879, Taupo 3351 along with your cheque for payment or pay via direct credit to the following bank account: Kinloch Community Associatio Inc, Westpac Taupo Branch 03 0430 0247484 00. Make sure you include reference of your surname. 

Thank you for your continued support.  

If you would like to be a member of the Kinloch Community Association please print this form and send it to: Kinloch Community Association Inc., PO Box 879, Taupo 3351