
MEMBERSHIP APPLICATION
Organisation's Name |
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| Postal Address | ................................................................................................................................... .................................................................................................................................... ................................................................................................................................... ................................................................................................................................... |
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address for Notices |
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Website |
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Mission Please state the main purpose/aim of the Organisation. |
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| Contact Name, Position & Signature |
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For further information please contact Phil Parnell, Chairman, (04) 479 2239 phil.parnell@wrhpc.org.nz |
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