Friends of the New Zealand Portrait Gallery
I wish to join / renew my
subscription for 2010 (cross out one)
to the Friends of the New Zealand Portrait Gallery
All subscriptions are GST inclusive. The Portrait Gallery is a registered
charitable trust.
(This is a Tax Invoice - GST No 56-898-646)
| Member Subscription | $30 | |
| Double Subscription | $45 | |
| Life Membership | $200 | |
| Artist Subscription | $20 | |
| Donation $ |
My cheque for $ ____________________________is enclosed
Please tick relevant line(s) above and PRINT details below
Ms, Miss, Mrs, Mr, Dr etc. - Please write prefered
honorific ____________
Name____________________________________________________________________
Address__________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Telephone________________________________________________________________
Email address if you wish to receive newsletters by email
__________________________________________________________________
Please send to:
The Membership Secretary | Friends of the New Zealand Portrait Gallery
P O Box 5983 | Wellington 6145