YMCA Marathon Club :: Membership Renewal Form 2013-14

MEMBERSHIP RENEWAL

Fill out the following Membership Renewal Form 2020-21

TAX INVOICE - GST No. 10-864-506

PAYMENT DUE 1 APRIL 2020

2020/21 Membership Fee for Auckland YMCA Marathon Club - $78.26
GST - $11.74
Total Club Subscription - $90.00

Special Registration Offer

New Style Club Singlet (usually $60.00) - $55.00

New Style Club T-Shirt (usually $65.00) - $60.00

Unisex Size Guide
Body Measurements (cm)
Sizes	2XS	XS	S	M	L	XL	2XL
Chest	75-78	79-85	86-94	95-102	103-109	110-120	120-130

In Addition: If you wish to register with Athletic NZ (optional)

To: 2019/2020 MEMBERSHIP Fee for YMCA Amateur Athletic Club Full - $91.00
Social - $56.00
Timing Chip - $ 6.00

Note, registration and payment of the Athletics NZ Membership is now via the ANZ self-register portal at https://memberdesq.onesporttechnology.com/3291

Click Here for benefits of Athletics NZ Membership

To ensure that our membership records are correct, please complete the following:

1) Title *
2) First Name *
3) Last Name *
4) Occupation *
5) Date of Birth (DD/MM/YYYY) *
6) Age
7) Gender *	Male Female
8) Residential Address (include Postcode) *
9) Postal Address (if different from above)
10) Home Phone
11) Work Phone
12) Mobile
13) Email
14) Are you a Runner, Walker or Both? *	Runner Walker Both
15) Your Club Magazine will be available from our website - www.ymcamarathon.org.nz. If you have no web access and a hard copy is required, please tick this box.	Hardcopy required
16) The Club relies on its members to support the running of the club. Please indicate if you are willing to volunteer and assist in the running of any of the following Club activities	WhyWomenRun – Mother’s Day. 10K Series in the Domain – Thursday evenings during daylight saving. Fundraising sub-committee. Fundraising events – ad-hoc throughout the year. Other that come up time to time. Pack Leader
16) Additionally, the Club is keen to explore new sponsorship opportunities, do you have own or work for a business that may be interested in providing sponsorship for the Club or it’s events?
PRIVACY ACT 1993 – The personal information provided in this form will be used by the Club for legitimate and reasonable Club related purposes only and in paying your membership fee you are taken to have consented to such use of your personal information. *	I do not want any image of me to appear on the website I give permission for my image to appear on the website
Fees: Auckland YMCA Marathon Club Annual Subs - $90.00 *
Donation to assist the Club with administration costs
Purchase New Uniform Top
New Uniform Size
Total to Pay *
Payment Method *	Cash Cheque Direct Credit (account details on About Us page)
I wish to register with Athletics NZ (optional) to 2020/21. The additional MEMBERSHIP FEE for YMCA Amateur Athletic Club is: *	Yes No
Note, registration and payment is now via the ANZ self-register portal. Also, so we can coordinate participants at the ANZ Events, please indicate if you are intending to join ANZ as a;
Signature (enter your name) *
Today's Date (DD/MM/YYYY) *