Membership Form

Please correctly answer all of the follow questions:

1) 'Kiwi' (English) Name
2) First name ( as shown in your passport )
3) Family name ( as shown in your passport )
4) Nationality
5) New Zealand Address
6) New Zealand Home Phone
7) Mobile Phone
8) E-mail
	Your QQ Number:
	Your Skype ID:
9) Male Female	10) Date of Birth:
Social activities:
11) I would like to join the following social activities: Summer beach barbeques; Auckland Harbour day cruises; Beach fishing;
12) Other social activities: (Please describe) Pls describe: ( Social activities ) ?:
13) Any questions you want to ask: Any questions:( Social activities ) ?:
Sporting activities:
14) Would you like to play in our sports team, if so what sport ? Soccer , Basketball , Tenpin bowling , Other sports ; Pls describe other sports you like:
15) Any questions you want to ask: Any questions:( Sporting activities ) ?:
16) Would you like to join our Travel Club ? Yes No
If yes, go to Application form for Travel Club.
Note: Please correctly answer all of the questions on the form.

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