New Zealand TEA Party Membership Application Form

Personal Information

Title

Legal First Name
Legal Surname

Mobile Phone
Home Phone

Email Address

Home Address

Postcode
Wechat Id

Membership Fee
$5 NZD
Donation

Payment Method

Bank Details
ASB BANK, TPNZ (Tea Party New Zealand), 12-3233-0200349-00

TEA PARTY INFORMATION

I want to become a member of New Zealand TEA Party and I meet the following eligibility criteria.

  • I am a registered elector and have lived in New Zealand for a continuous period of at least one year
  • I am not a member of any other political party in New Zealand and free to be a member of New Zealand TEA Party
  • I accept the philosophy and rules of New Zealand TEA Party as stated on its website
  • I will pay immediately my joining fee of $5 NZD (including GST) per year membership
  • I authorise New Zealand TEA Party to record my name, upon receipt of my membership fee, as financial member
  • I authorize the Party Secretary of New Zealand TEA Party to release this form and my information to the Electoral Commission for the purposes of party registration under the Electoral Act 1993
  • I authorize NZTP to send me update information to my email address

Signature
Date

 

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Authorised by Winson Tan,
16H, 76 Albert Street,
Auckland CBD, Auckland

info@teaparty.org.nz

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