PNMEC Membership Application

Please navigate with your Mouse or TAB key as a RETURN may submit the form.
Your Full Name (*) = required entry

Street (*)

               City (*)       and     Post Code
  
Phone No (*)

Fax No

Your E-Mail Address

Spouse Name


Membership Options (Click one)
Full Member
Country Member
Junior Member
Local member; or I have a steam model and will require the services of boiler committee for boiler testing etc
Out of town member
(> 50 km)
For those 18 years
and under
Please note there is also a one off $10.00 joining fee

Why I would like to become a PNMEC member





You may also print this form and post to


The Secretary
Palmerston North Model Engineering Club Inc.
C/o 22b Haydon Street
Palmerston North      4414

E-mail us at: pnmec@trains.net.nz

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