Print this form and send it with your payment to:
TESOLANZ MEMBERSHIP
32 Whaui Street
Vogeltown
Wellington 6021
Name:_______________________________________
Organisation:_____________________________
Delivery Address:
_____________________________________________
_____________________________________________
_____________________________________________
email:________________@_______________
Phone:_(____)______________________
Invoice Address (if different):
_____________________________________________
_____________________________________________
_____________________________________________
| In NZ Overseas | |
|
TESOLANZ Newsletter |
$20 $30 ![]() |
|
TESOLANZ Journal |
$30 $40 ![]() |
|
TOTAL PAYMENT ENCLOSED: |
$________________ |
|
OR Please send invoice to: ............................................................................................................................................ ............................................................................................................................................. ................................................................................................................................................ | |
© TESOLANZ 2006