Pacific Women S Watch NZ

PACIFIC WOMEN’S WATCH (NEW ZEALAND)

Office: Postal address: 70 Khyber Pass Road PO Box 99-464 Grafton Newmarket Auckland Auckland 1149 ph: [09] 575 1523 (Pres) New Zealand

Charities Commission Number 40721 Email: [email protected] GST No. 83 134 143 Website: www.pacificwomenswatch.org.nz

1 April 2015 INVOICE - Membership 2015 – 2016

Members’ annual subscriptions to Pacific Women’s Watch NZ (Inc), known within NZ as New Zealand Women’s Watch, are now due for the 2015 – 2016 financial year. Your membership and support are much appreciated.

Kindly complete the form below and return to: PWW(NZ) Membership P.O.Box 99-464 [or electronically to: [email protected] ] Newmarket, Auckland 1149

Payment methods:  Cheque: PACIFIC WOMEN’S WATCH (NZ) Inc  Direct Transfer: PWW(NZ), ASB Bank, Remuera Account: 12 3030 0653903 00 Particulars – Your name Code – PWW Sub

Any inquiries, e-mail: [email protected] or phone: [09] 575 1523

A receipt will be issued, thank you for your support. ______

PWW(NZ) Membership 2015 - 2016

Subscription (organization*) $ 40. 00 Payment method (please indicate) Subscription (individual- waged) $ 30.00 cheque [ ] Subscription (individual- unwaged) $ 20.00 cash [ ]

Donation (tax deductible & received with thanks)______direct transfer [ ] Total amount enclosed: $ ______

Please complete the following: Date: ………………….

Name: Dr/Ms/Mrs/Miss (please circle)/ or organisation*: ………………………..……..………………………….

Postal address:………………………………………………………….……… …… Post code:..…..….....…

Phone: ……………………..…... E-mail: ……………………..……………………………………………...…

*Submitted by: ……………………………………………………………...…

The information entered on this form will be used for PWW(NZ) membership purposes only and will not be passed on to any other organization outside PWW(NZ) For PWW(NZ) financial records: Received by PWW(NZ) …………………………….. Receipt sent ………………….………………..