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MEMBERSHIP APPLICATION FORM

* Member Name * Date
* Name of Business
* Business Address

* Date Started * Legal Entity Status
* Email Address * Phone
Website URL Fax
Tribal Affiliations
(if any)
* Description of Business Activities

Membership Type:

Individual Membership
$100.00 plus GST
Corporate rate
$500.00 plus GST
Student rate
$50.00 plus GST

You are able to nominate up to four additional staff members.

Name Email
Name Email
Name Email
Name Email

Business Sector: (please tick)


Optional Choices: (select all that apply)


Please select the events you would be interested in: (select all that apply)


What services would you like our association to offer?


Payment method

Paypal
Please invoice me
By becoming a member I support the objectives of the Tauranga Maori Business Association.