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Membership Application and/or Donation form - please print
[Membership fee is $20.00 ], payable to:
The Treasurer
Peninsula Watchdog
PO
Box 211
COROMANDEL 3543
Name __________________________
Address ________________________
________________________________
Phone __________________________
Email __________________________
Coromandel Watchdog (please advise if you want a receipt).
Either Direct credit our Bank account:Coromandel Watchdog
KiwiBank Acc no: 38-9006-0733863-00
(please advise us of your donation with contact details above) -
watchdog@pohutukawa.org.nz
or print and post this form:
I enclose a cheque for $.........., of which $.......... is a donation. I would like this donation to be used for:
I am interested in helping with;
What watchdog work would you like to be happen/be involved with locally?
