application

Application for PANZ Membership

* Indicates required field

Name *

First

Last

ADDRESS *

Address *

Suburb *

City *

Postcode *

Country *

Phone Number *

Mobile Number *

Email *

* Please fill in the following fields if you belong to any other Pastel societies, have won any pastel awards or had articles published in any literature.

*Status within other pastel societies (If applicable) *

*Awards *

*Publications *

I would like to join PANZ as: *

Subscriptions due in January each year, an email reminder will be sent out.
NB If joining after June 30th, subs are half price

Do you have a website you would like advertised? *

Yes

Website Address *

Where did you hear about PANZ ? *

I will submit payment via *

Direct Bank Deposit PAYPAL for members outside of NZ

Submit

A second page will appear with your payment instructions, thank you.