Join IAMNZ Become a part of Indian Association (Manukau) New Zealand IAMNZ Membership Application Form POWERING NZ INDIANS INDIAN ASSOCIATION (MANUKAU) NEW ZEALAND MEMBERSHIP APPLICATION FORM 25 Tui Road, Papatoetoe, Auckland 2025 | www.inzone.org.nz To become a financial member of the Indian Association Manukau New Zealand, please complete the application below. Your application will be reviewed by the executive committee and you will be advised of the outcome. 1. Applicant Details First Name * Last Name / Surname * Street Address * Suburb / City * Age Category * -- Select Age Bracket -- < 40 Yrs 40 - 64 Yrs > 65 Yrs Mobile Number * Email Address * Name of Spouse (If already a member) 2. Select Membership Type Permanent Financial Membership Select age bracket above to calculate fee $100.00 Annual Membership Expires 31st December each year $50.00 / year 3. Executive Supporters Applications require sign-off by two current Executive Members of IAMNZ. Supporting Executive Member 1 * Supporting Executive Member 2 * 4. Payment & Bank Details Total Amount Payable: $100.00 Direct Bank Transfer Details: Bank Account No: 06-0805-0140705-00 Account Name: Indian Association Manukau New Zealand Please use your Full Name as the reference when making payment. Photography Notice: Photos taken during our events may be shared on social media platforms. These images will be used exclusively by IAMNZ and will not be distributed to any third parties. I declare the details provided are correct and I accept the media/privacy terms outlined above. Submit Application