This form is for those who wish to join the HUTT VALLEY IRISH SOCIETY.
What membership category are you applying for?
Please enter your full name:
Please tell us the names (& ages) of your children under 18years:
Please enter your email address:
Does someone else in the family want to receive email alerts?
Contact Phone Number?
Applications for membership need to be verified (or nominated) by current financial members of HVIS before they are considered. So you will need to have arranged for two HVIS members to 'nominate' you BEFORE submitting this form.
Who are the HVIS members who have agreed to nominate you?
Applications for Membership will only be considered when nominated by HVIS members (see above) and after PAYMENT OF THE SUBSCRIPTION FEE has been made. This can be done in person at the HVIS premises, or by DIRECT CREDIT to account number 06-0529-0416815-00. (Use your family name as the reference (or your phone number if you have to use numbers)
What reference (number/characters) did you use when you made your payment?
Date and Time you made your payment?