MEMBERSHIP APPLICATION

	MEMBERSHIP APPLICATION
	Name:	......................................................................................................
	Organisation:	.....................................................................................................
	Address:	..................................................................................................... ..................................................................................................... ...................................................................................................... ......................................................................................................
	Telephone:	......................................................................................................
	Fax:	......................................................................................................
	Mobile:	.......................................................................................................
	Email:	......................................................................................................
	Please enclose $20 membership fee. P O Box 2280 Wellington The Wellington Region Heritage Promotion Council is made up of people and organisations interested in promoting our heritage. For further information please contact Philip Vallance, 06-378 6268