Membership Application Form & Tax Invoice

GST No 56-167-552

Please sign me up as a member of the NZ Guild of Agricultural Journalists & Communicators

Name:

Address:

Email:

Phone: Work                        Home                        Cell

Employment Details (optional)
Employed by                                               Self-employed
Freelance                                                   Retired
Other (give details)

Communication Skills/Experience (optional):
We ask members to provide information about their communication skills and experience so we can better promote the Guild to potential customers.

My skill set is (tick as many as you like)
Broadcaster             Columnist/commentator                Desktop publisher
Communications/PR executive              Editor              Event manager
Film/TV                    Journalist                  Photographer           Websites
Other

My Area(s) of expertise are:
Agribusiness          Arable/cropping                    Beef and sheep                   Dairy
Deer                         Economics                           Forestry                                  Wool
Environment/sustainability                                  Horticulture   Science/research
Small farming         Viticulture          Other

 I agree this information may be used to promote the Guild

 Signed:

Please send your $90 annual subscription (cheque made out to NZGAJC)
Sue Miller, Secretary
NZGAJC, PO Box 54-234, Mana, Wellington
Phone 04 233 1842
Email secretary@guildag.co.nz
Website: www.guildag.co.nz