New Zealand Cartridge Collectors Club (NZCCC)APPLICATION FORM TO JOIN THE NZCCC

 

Please provide the following contact information:

(*Indicates a required Field)

*First Name
*Last Name
Title
Organization
*Street Address
Address (cont.)
*City
Mobile
Work Phone
*Home Phone
FAX
*E-mail

FIREARMS LICENCE No.

(if applicable, for NZ members)

Please select the method you wish to be contacted:

(Do you agree to your phone number being listed in the NZCCC Membership List?  Yes/No)

COLLECTING SPECIALTIESAND REMARKS
 

SUBSCRIPTION FEE For NZ members: NZ$25 plus $5 joining fee

For overseas members: NZ$35 plus $5 joining fee
link to Internet currency converter http://www.x-rates.com/calculator.html

(Overseas members can pay by personal cheque)

I certify that I have never been convicted of a crime of violence in my own or any other country and that there are no other circumstances or reasons, as regards my past conduct, which would obviously make me undesirable as an NZCCC member. If admitted to membership, I agree to abide by all the rules and regulations of the Association and to conduct myself at all times with honour and integrity.


Copyright © 2001 [NZCCC].
All rights reserved.
Revised: June, 2007