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How to join WRPS
Instructions
1. Print off this page directly,or download the
MSWord version here.
2. Complete the form
3. Either post the form with the appropriate subscription enclosed to
WRPS, P.O. Box 15668, New Lynn, Auckland, 0640
4. Or email the form as an attachment to wrps@waitakereranges.org.nz
and we will invoice you.
5. Online Banking
Our bank is Kiwibank. The account number to use in the format Bank-Branch-AccountNo-Suffix is 38-9010-0379887-01
please use 201(year) SUB and your surname as a reference ie 2011 Jones
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MEMBERSHIP
DETAILS Mailing Address:..................................................................................................................................
Phone:................................................. Fax:........................................................ Email:........................................................................................ Would you prefer to receive the newsletter via email? Yes / No Membership type (please tick): a) Family / Group.................... ($35.00) (Number of persons)...................... b) Single............................ ($25.00) c) Senior / Unwaged............................... ($20.00) We also offer Lifetime membership $150 + new member ............................... Corporate $250 or $500 ......................... Cheque for my 2011 subscription attached: $....................... Donation: $............................ All subscriptions and donations will be acknowledged with a newsletter and a receipt To help us better represent our members we ask you to please take the time to fill out our membership survey. The details will remain confidential to the society and will not be made available to any other party for any reason. MEMBERSHIP SURVEY What is your age group: a) younger than 18 .............. b) 18 to 25 .............. c) 25 to 40 .............. d) 40 to 65 .............. e) 65+ .............. Are there any regions of specific interest to you in the Ranges? (Tick as many as apply) a) West coast shore / marine environment b) Foothills c) Muriwai d) Te Henga e) Piha f) Karekare g) Whatipu h) Huia i) Laingholm j) Titirangi k) Waiatarua l) Oratia m) Swanson n) Other (please describe): ...................................................................
Do you have any particular environmental interests (e.g. deforestation, water quality, etc)? If so, please describe: ................................................................................. What is your profession? .......................................................................................... Do you have any skills or expertise applicable to conservation in the Ranges? (Tick as many as apply) a) Planning / Resource Management b) Legal c) Education d) Scientific e) Administrative / Financial f) Fundraising g) West Auckland history/knowledge h) Other (please describe):.........................................................
In which of the following WRPS activities would you be able to participate? (Tick as many as apply.) a) Working bees (weeding, replanting, etc.) b) Administrative (newsletter folding, mailouts, etc.) c) Political action (letter writing, lobbying, etc.) d) Outings (hikes, tours, etc.) e) Lectures f) Special interest projects g) Sorry, unable to help
Are there any areas in which you would like WRPS become more active?If so, please describe:.......................................................................................
How did you hear about WRPS? (Tick as many as apply): a) Pamphlet b) Media c) Word of mouth d) Website d) Facebook d) Other, please describe ...................................................
Is there anyone else to whom you would like us to send WRPS membership details?
Name:.........................................................................................................
Address:..........................................................................................................................................................................................................................
Please post back to WRPS, P.O. Box 15668, New Lynn, Auckland, 0640or email to wrps@waitakereranges.org.nz
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March 05, 2011
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