Application to join

Full name:
E-mail address:
Phone number: Business:
Home:
Postal address: Street/Box No.:
Suburb:
Town/City:
Country:
  I hereby make application for membership of the Auckland Philatelic Society Inc.
First Referee:
First Referee Phone/email:
First Referee Society/occupation:
Second Referee:
Second Referee Phone/email:
Second Referee Society/occupation:
  Note: The Referees can be members of this Society, or any other Society in New Zealand, or other reputable persons. Juniors (under the age of 18 years) require a letter of consent from a parent or guardian.
What are your collecting interests?
Branch Exchange I wish to also join the Exchange Branch, and purchase or sell stamps through the Circuit Books.
Yes   No