Membership Application Form

Important: we offer two methods of applying for membership, and accept cheque or credit card payments by mail.

Fill out the following form, which will create a custom-page for you to print and send by mail or fax; or
Alternatively, fill out a manual membership application form, print and send by mail.

Membership Application Form (fields marked '*' are compulsory).

Name * First Names:
* Last name:
* Preferred Name:

Address * Street or Box listing:
Suburb:
* City:
State:

* Country:

Postcode:

Email * Home Email Address:
Work Email Address:
Preferred email contact:

Home Phone Area code: Number:

Work Phone Area code: Number:

Cell Phone Area code: Number:

Preferred phone contact:
Please share my contact details with other members yes no

Occupation Occupation:

Experience and skills

The Rimutaka Incline Railway project will benefit greatly from Members' experience and skills across a wide range of disciplines, including:

Accounting, marketing, engineering, surveying, planning and resource management, publishing, graphic design, fitting and turning, boilersmithing, welding, painting, building, cabinet-making...

Please list experience and skills you could offer the railway:

Submit

Please select the submit button, which will check the form, please revise as prompted. Once all fields validate, details will be submitted to our database.

A customised application form will be created for you to print, which includes subscription (NZD$45 p.a.) and donation options. At present we can only accept payments by cheque or credit card through the mail. Thank you for your support.

Next page: Links

[Home] [Shop] [History] [Project] [Route] [Next steps] [Walkway] [News] [About us] [Contacts] [Membership form] [FAQ] [Links] [Site map] [Member pages]

Page updated 30 May 2005 Hugh McCracken.

Rimutaka Incline Railway

Membership Application Form

Membership Form