Feilding and Districts R.N.Z.S.P.C.A.
Membership application
I wish to
:
become a new SPCA member
renew my SPCA membership
Full name
:
Address
:
Email
:
Home
p
hone
:
Work phone
:
Occupation
:
Age
:
Select
Under 18
18-29
30-39
40-49
50-59
60-69
70+
(optional)
Animals
:
(number and type of animal)
Membership type:
Annual renewal:
Select
Family $11.25
Individual $11.25
Junior $5.06
Senior $5.06
Payment:
I have enclosed a
cheque
for the amount
indicated
above.
Please check this box if you require a receipt
Please print, sign and post to
:
Membership
Feilding and Districts SPCA
PO Box 562
Feilding
Information supplied may be used for SPCA marketing purposes.
Individuals are entitled to have access to and seek correction of any records relating to them.
All information will be held in accordance with the Privacy Act 1993.