NEW ZEALAND CARNATIC MUSIC SOCIETY

(Registered in New Zealand as a Not-for-Profit Organisation)

(Incorporating NZCMS Centre of Learning)

 

MEMBERSHIP APPLICATION FORM 

                                                                   NZCMS to fill - Mbr/ship No: ____

 (Capital letters please)

Name

 

 

Address

 

 

Phone Number

                                                                                                                                 

Fax Number

              

Email address

 

Mobile Phone No.

 

Membership Type (please circle as appropriate)

Single

Family

Number of members in the family

(please circle as appropriate)

1

2

3

More than 3

Amount

$ 60

$ 110

$ 150

$ 40 per additional family member

Total Membership

Subscription Amount

$...................... (Cheques to be drawn favouring: ‘NEW ZEALAND CARNATIC MUSIC SOCIETY” & Crossed “PAYEE’S A/C ONLY”).

Signature                                                                     Date:

 

Special additional

Information

  1. NZCMS – Centre of Learning

 

  1. About participation in programmes

Please state names of children, if they are members of NZCMS – Centre of Learning (if you would like to know details of NZCMS – Centre of Learning – music teaching, please ask for it)

 

 

If you or your family members can sing – play instruments; please advise us so that we can use their services for Society.

 

IMPORTANT: Please ü preferred communication channel : Email  [  ]  Phone [  ]  Post [ ] 

(NZCMS prefers email for communication as it helps to cut down on the running cost)

You may (1) Hand over the form with payment to any of the Society’s Committee Members whose names are listed on the back of the application form or (2) post this form to The Secretary, NZ Carnatic Music Society, P.O. Box 96260, Balmoral, Auckland, together with your cheque.