New Zealand Tree Crops Association

www.treecrops.org.nz   >   About   >   Membership Application On-line

You need to follow these two steps please:

1. Fill in the on-line form below and press the SUBMIT button,
    which will take you to:
2. Our NZTCA account details for on-line banking

Use the Tab key to move between boxes.
If you muck up, or the form gets sent incomplete, just start over -
(use your browser's BACK button to reload this form)...

Application details

1. Surname/Family Name:
2. First Names:
3. Your Occupation:
   (required by Incorporated Societies Act)
   
4. Email address - please enter carefully:
5. Your preference for (monthly) newsletter delivery
       Emailed only both Emailed and printed printed only
6. Your preference for Email downloads
   (newsletters with images download slowly on dial-up) Full articles, any colour images Abridged preferred, few images No articles by Email
7. Choose one local branch from the drop-down list; you will receive their newsletters, field day notices etc.:
   (choose preferred branch...) Northland Northern Region Franklin Waikato Thames-Coromandel Bay of Plenty Hawkes Bay Central Districts Wairarapa Wellington-Horowhenua Marlborough Nelson West Coast Canterbury Coastal Otago Central Otago
   
   (Optional - You can request to receive newsletters from more than one branch; ie. include an extra $13 for each additional 'Branch Associate Membership', in Associate Amount, below.
   Warning: some branches produce newsletters only sporadically.
   Tick any additional branches, at $13 extra, each:
8. - Associate membership, Northland
9. - Associate membership, Northern Region
10. - Associate membership, Franklin
11. - Associate membership, Waikato and Thames-Coromandel
12. - Associate membership, Bay of Plenty
13. - Associate membership, Hawkes Bay
14. - Associate membership, Central Districts
15. - Associate membership, Wairarapa
16. - Associate membership, Wellington-Horowhenua
17. - Associate membership, Marlborough
18. - Associate membership, Nelson
19. - Associate membership, West Coast
20. - Associate membership, Canterbury
21. - Associate membership, Coastal Otago
22. - Associate membership, Central Otago )
    
    
23. Now, Your Postal address (street/PO Box):
24. continued - (suburb/R.D. )
25. - (town/city)
26. - (region/state)
27. Postcode:
28. Your preferred Phone number:
29. (Optional - alternate phone):
30. (Optional - Fax number):
31. How did you discover us?
32. Outline the Trees you have Growing:
33. Summarise your Interests in Trees:
34. (Optional - Your Treecrop-related Web Site): www.

Payment Details

1. Subscription: normally NZ$40.00
   includes one branch's newsletters $
2. Associate Amount: NZ$13.00 for each
   additional branch's newsletters ticked $
3. plus any Donation to Research $
4. Total Amount I will transfer
   Important - please enter amount: $

1. I understand that my application will not be actioned until my annual fee transfers to the NZTCA bank account (following page) -
   to Submit your details, please click button:
   
     (May take a minute...)

Created: 3 December 2006 -