Last updated on 13 Sept 2009
Copyright: NZ Cessna 180.185 Group
Please Update / Complete the Following.
Return to:
Brian Doig,
749 Somerton Rd,
RMD 2.
Ashburton,
7772.
Phone No: 03 3022741
Fax No: 30122747
Let me know if you wish wife / spouse, lover, partner etc! included in “salutation”.
This information will be distributed to members, on the strict understanding it will be only
used for Group / activity purposes.
Remember, DONATION cheque required $40.00 (per member) Year 1st July to 30th June
Please Print, Fill out required Information and FAX to Brian at number above:
Members Details:
Full Name:
Salutation: Mr/Mrs/Dr/Mate:
A/C Registration:
A/C Model:
E-Mail:
Address:
Home Telephone:
Business Telephone:
Mobile:
Fax:
New/Current Members Details
