Hutt City Membership

Please deposit $20 if you are a new member, or $15 if you are renewing your membership into the below bank account referencing your name.

Bank acct – ANZ 06 0996 09467 1900

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

First Name *

Last Name *

Occupation

Email

Phone *

Address *

Suburb *

City *

Are you renewing your membership?

What is five minus 1? (in number form) *