Auckland Rock 'n' Roll Club
c/o 183 Arthur Street Onehunga
Auckland 1061

          
I/We ................................................................................wish to Join/Renew membership of Auckland Rock'n'Roll Club

Attached is payment of $......................... being subscription for the year ending March 2017 ($20 each adult member)

Address:................................................................................................................................................................................

Phone:................................................                 Mobile:..............................................

Email:............................................................................................................................

Online banking option: Our account no: 12 3034 0656837 00
                                      Reference: Sub to March 2017