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P.O.Box 29002
Greenwoods Corner
Auckland 1347
New Zealand

E-Mail
president@epsom-eden.org.nz


Application for Membership

Please print the following Application for Membership and post to

The Membership Secretary
Epsom & Eden District Historical Society Inc
13 Kakariki Ave
Mt Eden
Auckland 1003.
membership@epsom-eden.org.nz

I/We wish to join the Society and enclose the Annual Subscription of

$25 single
$35 double

NAME(s): ........................................
  ........................................
ADDRESS: ........................................
  ........................................
  ........................................
Phone: ........................................
Fax: ........................................
E-mail: ........................................
Occupation: ........................................
Areas of
special interest:
........................................
  ........................................
  ........................................

Do you have reference books you would be prepared to lend to fellow members?

YES / NO

Would you be prepared to assist with the Society’s activities?

YES / NO

The Society’s year runs from 1st July to 30th June.

Annual subscriptions are due within 28 days of the AGM.

Your subscription entitles you to attend meetings, use the library collection and receive regular newsletters.

I agree that my name and contact details may be made available for society purposes only



Signature: .........................

Date: .........................





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