Memberships

Anyone is eligible to join the Far North Kaitaia RSA, old and young.

Calendar Year 1st January – 31st December

Associate Members over $40 + $5 Administrator Fee for the first year
Returned Members $40
Returned Members over 70 years $25
Returned Members over 80 years FREE
Service Members $40
Service Members over 70 years $25
Service Members over 80 years FREE
Youth & Junior Members FREE
Service Members still Serving FREE

Confidential Welfare Service available. Please contact the office by email: farnorthrsa@gmail.com

Phone 09 4080423.

Download/Print Members Rules

Membership Application Form

Subscription type*
- Member only
- Returned & Service
- Still serving
Title*
First Name*
Last Name*
Are you or have you been known by any other name?*
- Yes
- No
Please enter alternative name*
Full Postal Address*
Include rural delivery numbers & postcode
Telephone number
Date of Birth
Date Format: MM slash DD slash YYYY
Email address
Have you been refused or had your Membership revoked from any other Club?*
- Yes
- No
Name of Club & details*
Please make payment of $5 for full payment for this ADMINISTRATION FEE plus a further $40 for the current year’s SUBSCRIPTION.

Total = $45
Bank Details Westpac 03-0339-0360160-02
Reference: Your First name Inital and Last name

I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Please make payment of $5 for full payment for this ADMINISTRATION FEE plus a further $40 for the current year’s SUBSCRIPTION.

Total = $45
Bank Details Westpac 03-0339-0360160-02
Reference: Your First name Inital and Last name

I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Please make payment of $5 for full payment for this ADMINISTRATION FEE plus a further $25 for the current year’s SUBSCRIPTION.

Total = $30
Bank Details Westpac 03-0339-0360160-02
Reference: Your First name Inital and Last name

I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Please make payment of $5 for full payment for this ADMINISTRATION FEE, the current year’s SUBSCRIPTION is free.

Total = $5
Bank Details Westpac 03-0339-0360160-02
Reference: Your First name Inital and Last name

I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Please make payment of $5 for full payment for this ADMINISTRATION FEE, the current year’s SUBSCRIPTION is free.

Total = $5
Bank Details Westpac 03-0339-0360160-02
Reference: Your First name Inital and Last name

I hereby agree to abide by the rules of the Club and certify that the above information is correct.
Signature
If any of the information given is false it will result in the automatic cancellation of Membership. We the undersigned, who are Financial Members of the Club, certify that we know the applicant personally and recommend him / her for Membership. Please enter Name & Membership No. below
Proposer (Name)*
Membership No*
Years I have known the applicant*
Enter number, i.e. 20
Proposer (Name)*
Membership No*
Years I have known the applicant*
Enter number, i.e. 20

Save and Continue Later

Membership Renewal Form

RSA Club Times

Tuesday – Saturday

12 pm until late

Sunday

By booking only

RSA Club Contact

Far North (Kaitaia) RSA
12 Matthews Ave Kaitaia 0481

PO Box 163 Kaitaia 0481

Email: farnorthrsa@gmail.com
Phone: 09-408 0423