Application Form - North Harbour Club

Congratulations on your decision to apply for membership to the North Harbour Club.

Please fill in the following questions in the boxes below, name your nominating members, attach your CV/Bio/LinkedIn profile including employment, personal interests and submit your application.

If you have any questions about the application process, please contact Jodie Rawle on info@northharbourclub.co.nz.

Membership

Nominating Members

(Note: if you do not know a current Club Member, you must have the proposer and seconder signed off by a member or General Manager at one of the Club functions)

Name of your First Nominating Member

First Name

Last Name

Name of your Second Nominating Member

First Name

Last Name

Personal Details

Please enter your personal details below:

Prefix

First Name

Last Name

Your Email Address

Date of Birth

Street Address

Suburb

City

Post Code

Country

Business Details

Please enter your business details below:

Business Name

Phone Number

Industry

Street Address

Suburb

City

Post Code

Country

Postal Address

Street Address

Suburb

City

Post Code

Country

Questions

Please answer all questions below:

What do you know about the North Harbour Club?

What can you do for the North Harbour Club?

What do you wish the North Harbour Club to do for you as a member?

Who would you like to see speak at the North Harbour Club Lunches?

Would you be interested in playing a supporting role in the club?

Yes

Add any comments in regards to how you could support the club.

Would you be in a position to donate goods or services to help raise funds in North Harbour Club charity auctions?

Yes

Add any comments in regards to donating goods and/or services to help raise funds.

Membership

Please select your membership options below:

Please select your Membership Type

$690.00 for each year

$2,875.00 for each year

$345.00 for each year

Please upload your CV/Bio/Profile

Choose File

Conditions of Membership

Please tick that you AGREE to the following:

I have read and agree to the conditions of membership

Make a commitment to be an active member of the North Harbour Club, to support the Club's goals, by way of regular attendance at club events, donation of goods or services for charity auctions and/or sponsorship of the North Harbour Club