Membership Application

Thank you for your interest in Kaikoura Museum membership.
Membership offers real value and is a great way of keeping up with our activities.

2017-2018 Membership Application Form

Your Details
Information about you for our records
Name*
First Last
Email*
Phone*
Address*
Street Address City Postal Code Country
Membership
Membership Type*
Total
$ 0.00
Preferred Payment*
- Cash
- Cheque
- Eftpos
- Internet Banking
Notes
Name
This field is for validation purposes and should be left unchanged.