Blueberries New Zealand Inc.
Associate Member Registration 2005/2006 Season:

Tax Invoice GST No 10-395-478

Applicant to complete the following details:

Trading Name:
Contact Name
Postal Address:

Telephone:
Fax:
Email:

The Associate Membership fee entitles you to:

1. Receive all Newsletters sent out by BBNZ
2. Attend any seminars or training days which are run by BBNZ
3. Receive any other correspondence which is relevant to BBNZ grower members.

Associate Membership Fee: $56.25 Cheque Enclosed

An invoice for the membership fee will be sent to the address entered above.

This form will be submitted by email

(By Clicking submit you adhere to the terms and conditions specified)