The Entomological Society of NZ (Inc) Auckland Branch

 

 

 

 

SUBSCRIPTION FORM

 

Name                                                                                   .

Address                                                                           .

                                                                                          .

                                                                                           .

Telephone (day                                 .                                       mobile phone:                          

                (evening)                                           .                                       fax:                                          

E-mail      ­                                                         .

(email is used to notify members of meetings)

 

I wish to be a member of the AUCKLAND BRANCH of the ENTOMOLOGICAL SOCIETY of NZ (Inc.) for the year 200     .

Enclosed is my membership fee which for one year entitles me to copies of the Auckland Branch Newsletters, and the Society’s Scientific Supplement ‘The WETA’.

 

Please tick:

 

ڤ      Members who would like to receive

         ‘THE WETA’                        $15

 

ٱ         Members who already receive or do

         not require ‘THE WETA’         $10

 

Please make cheques payable to:

ENTOMOLOGICAL SOCIETY, AUCKLAND BRANCH

 

         ٱ New member  ٱ New address

 

Date:                                       

 

Signature:                                

 

 

 

Please complete the form and send with payment to:

 

         Dr Nicholas Martin

         Entomological Society, Ak Branch,

         97 Astley Avenue

         New Lynn

         Waitakere City

         Auckland