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Historic
Places Trust Pouhere Taonga
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Make
a Donation
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1.
Tell us about Yourself
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Title:
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Dr
/ Mr / Mrs / Ms / Miss
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Full
Name:
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Email
address:
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Address:
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Suburb
/ Town:
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City:
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Daytime
phone :
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Evening
phone:
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3.
Tell us about your contribution
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__________________________ |
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Credit
Card Type:
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Card
Number:
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Cardholder
Name:
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Expiry
Date:
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__________ |
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Thank
you, but I would prefer not to have my donation acknowledged in the
NZHPT's magazine.
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Membership
Services
NZ Historic Places Trust
Freepost 3206
PO Box 2629
Wellington, New Zealand
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Fax: (04)
499-0669
(from outside New Zealand +64 4 499-0669)
If mailing please remember to include your remittance.
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