Join SeniorNet – SeniorNet Hutt City

Membership application form

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Are you a previous member of SeniorNet Hutt City?

Yes, I’m a previous member of SeniorNet Hutt City Inc.
No, I’m new to SeniorNet Hutt City Inc.

(Information used for our database updates)

Is this application for you alone, or part of a joint application?

This application is for me alone (Subscription rate $25 per annum)
This application is part of a joint application where my partner is also joining at this time (Combined subscription $40 per annum)
This application is part of a joint application where my partner is already a member. (Combined subscription rate $40 per annum)

Spouses name?

This information is required ONLY in the event you are submitting a joint application. Otherwise, leave it blank.

Your title?

Your first name

Your family name

Your address

Street, suburb and city

Your post/area code

Postcode finder here NZPost Postcode Finder

Your landline or mobile phone number

Enter numbers only. No spaces or other characters please.

Your email address

Confirm Email

We will email you a confirming copy of your application.

Your birth date (Month, Day, Year format)

mm / yy / yyyy

Additional comments

If you have any other questions, comments or concerns please let us know.

Declaration

I declare as follows

I am a New Zealand resident.

I am a mature person.

If I am accepted as a member of SeniorNet Hutt City Inc. any information I obtain regarding the membership of that Society is confidential and may only be used in connection with the Society’s activities.

All material supplied is subject to Copyright.

From time to time some of our members voluntarily give help and advice to other members on matters relating to computers and associated equipment. This assistance is given and taken at my risk and imposes no liability of any kind either on those providing it, or on SeniorNet Hutt City Inc.

I agree to pay the initial membership fee.

I have read the SeniorNet Privacy Policy .