JOIN VISION KERIKERI

'GROWTH WITH VISION'

JOINING FEE $30 individual $40 couple $100 Corporate ( $10 discount for unwaged)

NAME:

ADDRESS:

TELEPHONE Home & Mobile :

Email address : (please print clearly)

I would like to receive Newsletters and latest news by Email ?    YES  /  NO   (delete one)

I would like more membership forms by email to gain more members   YES / NO  ( delete one)     Note:  You will be sent a receipt confirming your membership

Post to;  Vision Kerikeri PO Box 793 Kerikeri 0245

or contact info (at) visionkerikeri.org for more information