New Zealand Freshwater Sciences Society
How do I join?Print out the following, fill in your details, then
post to:Janine Wech, NZFSS Secretary-Treasurer, c/- NIWA, PO Box 8602, Riccarton, Christchurch8440, or email to:
Details:
Title ...... First Name ...... Initials...... Surname......
Address…………………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………………..…
Email ......
Telephone: (main)...... (alternate)......
Membership type (select one): ☐ Waged☐Student☐Unwaged
Brief list of your professional interests:…………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………………………
Permissions: Please select your preferred option for the following and sign to authorise:
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
I agree to the NZ Freshwater Sciences Society publishing my membership details.
☐Yes ☐NoSignature……………………………………………..
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
I give permission for my email address to be added to the NZFSS email mailing group.
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
☐Yes ☐NoSignature……………………………………………..
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
My preferred format for receiving the NZFSS newsletters is:
☐Hardcopy☐PDF – via emailSignature…………………………………….……..
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
Payment:Please tick appropriate boxes.
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
☐Waged / Corporate $55
☐Unwaged / Student $15
☐Life Membership $1375
☐Donation to the SIL Trust* (optional) $4
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
TOTAL AMOUNT: $......
☐Payment by ChequeMake payable to “NZ Freshwater Sciences Society”
☐Payment by Direct CreditAccount:BNZ 02-0700-0354213-00 Date paid:………………………
(Please include your name in the Reference/Details field).
☐Payment by Credit CardVisaMastercard(please circle one)
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
Name on card: ……………………………….………….
Expiry date:……………………………………………….
Card number:…………………….…………….………………… Signature of card holder:…………………..……..…………
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).
Please send completed form to: NZFSS Secretary-Treasurer (details at the top of this form).
*The SIL 1987 Trust supports overseas travel awards for beginning NZ scientists and guest lecturer visits to NZ by eminent international freshwater scientists (see website for more details).