Membership Application
Introduced by Industry Friend/Colleague

Details of New Joining Member
Date of Joining:
Name:
Address:	So that we can ensure that your Membership Card does reach you ... Please provide your Home Address, PO Box Address or DX Address Only Please do NOT  provide your company's street address as these bounce back to us
Email Address:

Home:		Work:
Mobile:

Their Name:
Employed By:
Their Membership No:
Their Postal Address:
PLEASE ENTER THE DETAILS OF YOUR FRIEND/COLLEAGUE  WHO INTRODUCED YOU TO THE TATS CLUB INTO THE ABOVE INFORMATION FIELDS, INCLUDING THEIR POSTAL ADDRESS, TO ENSURE THEY RECEIVE THEIR BONUS REWARD FOR INTRODUCING YOU.
Type of Membership:
	TATS Club Membership Fee  $30.00:
Yes I would like to receive updates and monthly newsletters by e-mail
No I would not like to receive updates and monthly newsletters by e-mail

Cheque Enclosed:

Credit Card:

 NOTE: IF PAYING BY CHEQUE PLEASE FORWARD PAYMENT TO PO BOX 73120, AUCKLAND AIRPORT. YOUR MEMBERSHIP APPLICATION FORM, AND YOUR FRIENDS BONUS REWARD FOR INTRODUCING YOU, WILL NOT BE PROCESSED UNTIL PAYMENT HAS BEEN RECEIVED.  

Credit Card Details:
Type:	Please choose American Express Diners Mastercard Visa
Name on Card:
Card Number:
Expiry date:	/