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Online Membership Renewal
SeniorNet West Auckland Inc
P.O.Box 69016
Glendene,
Auckland
ONLINE PAYMENT: Log on to your bank and go to one off payments. Copy the following SeniorNet bank account number 12-3100-0154721-00 into the payee field. MOST IMPORTANT: Enter "Renew" in the first reference field. Put your first name in the next field & surname in the third space.
Annual Subscription: 1st January to 31st December.
First Name
*
First name
Surname
*
Surname
Email
Landline Phone
*
Mobile phone number
Your computer operating system if known
Resignation if applicable
I wish to discontinue my membershjp
Subscription
*
$30.00
I have paid online
I am paying by cheque
Please tick the box showing your method of payment
In case of emergency
Enter any change to your nominated contact name and phone number if applicable.
Residency
For funding purposes, enter any change to your residency status or any change if applicable.
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