APPLICATION FORM

TUAPEKA MOUTH HERITAGE HUB FRIENDS

APPLICATION FORM 

Membership - 2020

Name: ________________________________________________________________

Address: ________________________________________________________________

Email: _______________________________

Phone: ______________________ 

DONATION: $........

Email or Post form to: Viv Child, Hub Friends - 25 Browns Road, RD 4, Balclutha 9274  vivholmes1@gmail.com

You may also send cash if you wish, but this would be at your own risk.

Use online banking to transfer your membership donation to the bank account, Clutha Valley Tuapeka Heritage Trust

1.  Kiwibank Balclutha

2. Account No. 38 9012 0243131 00

3. In the reference code please put “Hub Friend Donation” and YOUR NAME
4. email vivholmes1@gmail.com   to advise that your sub has been paid in this way.

And please add: I have a special interest in ….

Thank you