Membership

A listing of the current (2006/07), dues-paid members is available here. Inquiries may be directed toward the membership secretary (eso15@student.canterbury.ac.nz). If you would like to become a member of the society please print this page, fill in the blanks, and send the appropriate funds (in NZ$) to:

Title: _________ First Name: ____________________ Surname:_______________________________


Institutional Affiliation (if any): _______________________________________________________________

Postal/Street Address : ____________________________________________________________________

City: _____________________________ Country: _____________________________Post Code_________

Primary Telephone: _____________________ Fax: ______________________ Mobile: _________________

Email Address: ___________________________________________________________________________

Payment below for Membership year(s): _________________________________ (e.g. 2005/06)
(Note: Grants and stipends due to be awarded within any year will be granted only to members paid for that year.)

Payment of NZ$ _____________ enclosed as [ ] Cheque [ ] Credit Card Charge [ ] Money Order

We cannot yet accept American Express, Diners, or Direct Credit, a printable receipt will be emailed to you.

[ ] Visa [ ] MasterCard Credit Card Number __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Expiry Date (mm/yy): _________ Name on card (if different, Please print): _____________________________