Rotorua Botanical Society Membership Form

(Annual membership fee: $20 individual/couple/family. Financial year runs from 1st June - 31st May. Donations to student research fund are also welcome)

Please accept my application to join the Rotorua Botanical Society:

Name : ____________________________________________

Address : __________________________________________
__________________________________________________
__________________________________________________

Telephone : (__)___________ Email : ____________________

How did you find out about the Rotorua Botanical Society? :
___________________________________________________

I would like to receive (you may tick both boxes):

Either: - I enclose a cheque for : $________ (cheques payable to Rotorua Botanical Society)

Or: - I have paid $________ into the Rotorua Botanical Society account as a direct credit via internet banking. (Email  This email address is being protected from spambots. You need JavaScript enabled to view it. to notify of payment).
Westpac account number: 03-1552-0105518-00.

Either email a copy of this completed form along with automatic payment details to  This email address is being protected from spambots. You need JavaScript enabled to view it. or post the completed form along with cheque/automatic payment details to:

The Treasurer
Rotorua Botanical Society
c/- National Forestry Herbarium
Scion
Private Bag 3020
ROTORUA 3046