Membership Renewal Membership Renewal (Soft Copy) Name* Intials and Name Known By Surname Initials and name known by, e.g. Bill.______Surname.Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* PhoneMembership NumberMembership Renewal OptionsMembership RenewalFull before 31 March 2018 ($80)Junior ($40)N.Z. 2 year prepaid ($160)N.Z. 3 year prepaid ($240)PrepaidN.Z. Full Paid after 31st March ($85)U.K. Full (NZ$80)Rest-of-World (NZ$95)Family Members Price: $ 5.00 Quantity: Extra Copies of NZRO Price: $ 50.00 Quantity: Magazine Group (N Z Members)NoneGroup A ($15)Group B ($15)Group A & B ($30)Large Lapel Badge Price: $ 15.00 Quantity: Small Lapel Badge Price: $ 10.00 Quantity: DonationsFor $5.00 and more a receipt will be issued to NZ members only, for tax purposes.Archives General Purposes Premises Locomotive Preservation Payment DetailsNZ$ Total $ 0.00 Payment Method*Credit Card / PayPalBank Transfer, by Internet or paid at your BankChequeBank and NZRLS Account: 02 0500 0019277 00 If you have no Internet Banking, print this page, fill in the Identifiers and take to your Bank Branch for payment. Enter these identifiers on your transfer please particulars| Your surname followed by initials code | Membership Number reference | Word "renewal"Post to: N Z Railway & Locomotive Society Inc. 1A North Street Lower Hutt, 5012, New Zealand Cheques should be made payable to: "N.Z.Railway & Locomotive Society (Inc.)" Please fill in the order details, then print the form (<cntl> P) and post with your cheque. This iframe contains the logic required to handle Ajax powered Gravity Forms.