Friends of Rotorua Museum Application

    Title (Mr/Mrs/Miss/Ms) (required)

    First Name (required)

    Last Name (required)

    Postal Address (required)

    Your Email (required)

    Phone (Home/Business) (required)

    Phone (Cell)

    Please tick appropriate category:
    Individual Member $45Family/Double Membership $80Youth (18 years and under) $35Senior (65 years and over) $35

    I would also like to make a donation:
    Donation amount $

    Total amount (required) $

    ChequeDirect Credit

    Please send your cheque to:
    Friends of Rotorua Museum
    PO Box 1736
    Rotorua 3040

    Bank details (Direct Credit)
    Westpac 03 1552 0099250 00
    Please quote your surname as reference


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