

Members receive:
We cannot process money electronically. Please print this form (file - print or your printer icon), fill it in with clear hand printing and send it to the address below.
The printed form will start below this line. ___________________

My cheque for $ ____________________________is enclosed
Name_________________________________________
Address_______________________________________
____________________________________________
____________________________________________
Telephone____________________________________
Email address____________________________________
Please print and return this form to:
The Membership Secretary
Friends of the NZ Portrait Gallery P. 0. Box 5983
WELLINGTON 6145
(This is a Tax Invoice - GST No 56-898-646)
Further information about NZPG itself:
Avenal McKinnon, Director
+64 (4) 472 8874
Mob: 0274 444 775
or at the address above
Email dir@nzportgal.org.nz
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Last Updated: 2008-12-18