Home Up Feedback Contents Search In House

Registration

 

PACT Registration Details

[FrontPage Save Results Component]

Contact Information

Name
Title
Address
Town
Telephone
FAX
E-mail

Details

I wish to participate in the PACT Contributions Project and would like Automatic Payment form/s completed with the following details and posted to me for signing.

Marae Amount Period Bank Account Number

Authorisation Response

Please complete this form, print to hard copy, sign and return to us by snail mail to: The General Manager, Ngati Maniapoto Marae Pact Trust, PO Box 337, Te Kuiti.

Signed: _____________________ Date:_____________

At the moment I do not wish to make any contributions to the PACT but I am interested in this project and would like to know more about it.  Please arrange a representative to call me (Click to e-mail).

 

[ Home ] [ Up ]

Send mail to info@maniapoto.org.nz with questions or comments about this web site.
Copyright © 1999 The Ngati Maniapoto Marae Pact Trust (Inc.)
Last modified: May 25, 1999