Membership application

If you are interested in becoming a member of the New Zealand Netherlands Society (Wellington), aka The Dutch Club Wellington then fill in this form and submit. Our secretary will get in touch with you. Membership fee is $45 per year for a family, including children up to 18 years. Membership year is from 1 April till 31 March.

Thank you for your support.

 
 
 
 

Application of membership New Zealand Netherlands Society (Wellington) Inc, aka The Dutch Club Wellington

Name *
Name
DOB
DOB
Spouse/partner member name
Spouse/partner member name
DOB Spouse/partner
DOB Spouse/partner
Address *
Address
I want to receive the Double Dutch *