New Zealand Permanent Force Old Comrades' Association
Application for Membership   2001

Tick appropriate box, print this page and post it.

	I wish to apply for Membership because I am/have been a full-time member of the RNZA (RF) for three consecutive years.
	Or I wish to apply for Associate Membership because I am/have been a full-time member of a military force for three consecutive years and I have associated professionally with a New Zealand artillery unit,
	Or I am the widow or widower of a former member of the Association.

Personal Details (Please give at least Name and Address)

Title: (eg Mr, Mrs, Dr, Sgt)

Name:

Honours and Awards: (eg VC, BCom, RNZA)

Postal address:

Telephone number:

E-mail address:

Regimental number:

Artillery unit: (eg 161 Bty RNZA)

Qualifying dates of engagement (approx):

x	I enclose NZ$10 (NZ$5 for widow/er) subscription.
	I enclose an extra NZ$4 for a lapel badge.

Send this with money in New Zealand dollars to:
Secretary, NZPFOCA, PO Box 72-140, Papakura, New Zealand