Membership Register

Membership Registration Form

First Name*

Last Name*

Email*

Street Address1*

Street Address2

Country*

State / Province*

City

Postcode / Zip*

Mobile No*

Spouse Name

Children's Name

Fee and Bank Account details

For Single Person:-NZ $10 Per Year
For Family:-NZ $20 Per Year
Membership fee can be directly remmited into the ATA account which is

01 0183 0954 295 00 (Auckland Tamil Association)
Please enter your Name under Particular and Membership under Reference

Note:*

I/ we understand the objectives of Auckland Tamil Association and wish to apply for Annual Membership.