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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 |
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|
Personal (Student) |
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|
Joint Personal |
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|
Institutional/Corporate |
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| 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 |
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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 |