Annual Membership Renewal – Jet Ski Racing New Zealand

Name *

First

Last

Family Member Names (if applying for a family membership

Family Members must be living at the same address to qualify for Family Membership. Please list all family members separated by a comma.

Phone No. *

Address *

Email *

Offer of Assistance *

Membership Fees *

Individual Membership ---- $20.00
Family Membership --------$30.00
Oversees Individual -------$100.00

Renewal of Membership is not confirmed until full payment has been made by direct banking to the account of Jet Ski Racing NZ, Account No. 02-0112-0141545-025. Please state your last name under "particulars", and specify "membership" in the reference line.

Consent *

In accordance with the Privacy Act 1993, I consent to the collection of my details and to Jet Ski Racing New Zealand contacting me with information and offers from time to time. I have the right to access and make corrections to this information. I also accept that my details may be used in publicity and advertising.

AGREEMENT *

In submitting this application for membership, I agree to abide by the Constitution and Race Rules of Jet Ski Racing New Zealand and to act in accordance with the objectives and goals of the organisation.