ARANZ Membership Application Form

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Title/s: _____________________________________
Surname/s: _____________________________________
First Name/s: _____________________________________
Preferred Postal Address: _____________________________________
_____________________________________
_____________________________________
Telephone: _____________________________________
Email Address: _____________________________________
Occupation: _____________________________________
Signature:
_____________________________________
Membership Type (please tick one):

Personal

Personal (Student)

Joint Personal

Institutional/Corporate

Amount enclosed:
(Cheques to be made payable to ARANZ)

$____________________________________

Please Note:  Membership details provided will be entered into the ARANZ database and only be used in
compliance with the provisions of the Privacy Act 1992.

Please indicate yout interests:

1. Archival education & training
2. Business archives
3. Cartographic archives
4. Family history
5. Audiovisual archives
6. Local body archives
7. Oral archives

8. Photographic archives
9. Public history
10. Recordkeeping
11. Religious archives
12. Social history
13. Electronic Records                       14. Other (please state below)

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Please post your completed application form and cheque to:

ARANZ Membership Secretary
PO Box 11-553
Manners Street
Wellington
NEW ZEALAND

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