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+64 225922593
info@wkcinc.co.nz
Home
About Us
Activities
Events
Members
Donate Us
Sponsors
Gallery
Contact Us
Membership
Home
Membership
Family Membership
Individual Membership
Full Name*
Spouse Name*
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Phone(Resi)*
Mobile*
Contact In India*
Post Code*
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Spouse Email*
Address*
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Name
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Other Adult's Details
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Are you a member of any other Malayalee Association in NZ
Yes
No
If Yes, Please give details
Referred by
Have you completed payment, if 'yes' how?*
Payment completed online
Cash Paid to an Executive Committee memberof Whakatane
If payment was made online, please upload your receipt
If paid in cash, please give the name of the Exe. Member who received your payment
Submit
Bank Details Of Community
Account Holder's Name:
WHAKATANE KERALA COMMUNITY INC
Account No:
12-3253-0139901-00
Account Type:
Society Account
Full Name*
Email Address*
Phone(Resi)*
Mobile*
Contact In India*
Post Code*
Address*
Are you a member of any other Malayalee Association in NZ
Yes
No
If Yes, Please give details
Referred by
Have you completed payment, if 'yes' how?*
Payment completed online
Cash Paid to an Executive Committee memberof Whakatane
If payment was made online, please upload your receipt
If paid in cash, please give the name of the Exe. Member who received your payment
Submit
Bank Details Of Community
Account Holder's Name:
WHAKATANE KERALA COMMUNITY INC
Account No:
12-3253-0139901-00
Account Type:
Society Account
