FRIENDS OF THE HOCKEN COLLECTIONS INC.

APPLICATION FOR MEMBERSHIP

I wish to support the Hocken Collections by becoming a member of the Friends:

Name: ...............................................................................................

Address: ...........................................................................................

............................................................................................................

............................................................................................................

Tel: ............................. (Home) ............................... (Business)

Please tick one of the following tax deductible membership categories and annual subscription rates:

Ordinary $20 Principal Corporate Sponsor $250
Family $30 Corporate Sponsor $100
Student $10 Associate Corporate Sponsor $50
Life $250      

I enclose the sum of $ ............... for the current financial year, ending 30 June next.

NOTE: The Friends is not registered for GST. As it does have charitable status, however, annual subscriptions and donations are tax deductible under section 56A of the Income Tax Act 1976. Corporate subscriptions are tax deductible under section 147 of the Income Tax Act 1976.

Please send this application form with subscription to :

The Secretary
Friends of the Hocken Collections
P.O. Box 6336
Dunedin North