HMNZS WAIKATO ASSOCIATION

            MEMBERSHIP APPLICATION

Surname ____________________________   Initials _________  Known as _______________

Postal address  _______________________________                   Service No ______________

____________________________________________

____________________________________________

E-mail address _______________________________                   Telephone # ________________

Approximate dates of service in HMNZS WAIKATO ______________________________________

Highest Rank/Rate held onboard __________________________________

Any key position held ____________________________________________

The annual membership subscription is currently $10 and is due 1 December annually.
There is also an option of a once only payment of $100 for permanent membership and
no more subs.

To apply for membership, print this page, and send with a nice fat cheque to;-

Hon Secretary/Treasurer: 
Fred Wilson
78 Lake Road
Devonport
AUCKLAND

Tel: 09 445-8462   Fax: 09 445-8465
E-mail kf.wilson@xtra.co.nz