Thursday, February 26, 2009

Join Us!


Fees for Beneficiaries are $1 per week. Fees for others are normally $2 per week.
Download the form, fill it in and email it to the Secretary: keithhend@gmail.com
Or print it and phone 09 8369104 to find out where to post it.



I wish to join Waitemata Branch Of Unite
Mr/Ms/Miss
Name...............................................................................................
Address...............................................................................................................
Phone:
Home………………………....... Work…………………….. Mobile…………………….
E-mail………………………….............................................................

Fill in as applicable
Employer........................................................................................
Work place.....................................................................................
School ............................................................................................
Tertiary Institution.....................................................................
Benefit............................................................................................
Pension..........................................................................................
Care-giver e.g. parent.................................................................
Voluntary occupation..................................................................
Other occupation.........................................................................
Signed.................................................... Date.....................................