New Zealand Geophysical Society Application for membership

Please complete the following information, secure the signatures of two members of the Society in support of your application (contact a council member if you need help), and enclose a cheque for the first year's subscription.

Preferred title (please circle one)

Prof Dr Ms Mrs Miss Mr (None) Other (specify).......................


First or given name(s) and (or) initials

...................................................................................................................................
Last or surname

...................................................................................................................................
Address
................................................................................................................................... ................................................................................................................................... ...................................................................................................................................
Phone ....................................................... Fax .........................................................

email (Internet) .........................................................................................................

----------------------------------------------------------------------------------------------------------------------------------

I,..............................................................................................................(full name),
hereby apply for membership of the New Zealand Geophysical Society Incorporated, and I enclose a cheque for $............ in payment of the first year's subscription.

Date ........................... Signature of Applicant...........................................................

----------------------------------------------------------------------------------------------------------------------------------Nominated by:

(1) ............................................................................................................(full name)

Date ........................... Signature of Nominator..........................................................

(2) ............................................................................................................(full name)

Date ........................... Signature of Nominator..........................................................

------------------------------------------------------------------------------------------------------------------------------------
Mail this form and cheque for first year's subscription to:

The Secretary
New Zealand Geophysical Society Inc.
C/o Institute of Geological and Nuclear Sciences
P O Box 30-368
Lower Hutt
New Zealand

Subscriptions at the following rates fall due on 1 July each year:

Normal: $25.00 per year, (less a rebate of $5.00 if paid by 1 October).

Wellington-based members who do not belong to the Royal Society of New Zealand Wellington Branch are invited to pay $5 per year towards the running the monthly Geophysics Section meetings.

Bona fide students: $5.00 per year; no prompt payment rebate. Free subscription is offered for first year of membership.

New members:  The normal subscription for new (non-student) members is $25.00, but if payment accompanies membership application, the subscription will be discounted at a rate reflecting the time remaining in the financial year which ends on 30 June.

Discounted rates are: July-September - $18.00; October-March - $12.00; April-June - $6.00.


This page was last updated on 11 Oct 2007.