Great  Barrier  Island  Charitable  Trust

Membership Application and Enquiries

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E-mail Address: *
Name *
Type of Membership * Annual Student Membership - $15.00
Annual Ordinary Membership - $25.00
Annual Senior Membership - $20.00
Corporate Membership - negotiable
Life Membership - Senior - $200.00
Life Membership - $250.00
Family Membership - $35.00
Enquiry Only
Please list names of family members and use this box for COMMENTS
Address *
Phone *
Cellphone
Fax
Association with Great Barrier Island * GBI Resident
GBI Ratepayer
GBI Resident & Ratepayer
Visitor
   * Required      

You will receive an email with confirmation of your application submission or enquiry.

Copyright © 2005  [Great Barrier Island Charitable Trust]. All rights reserved.