Athletics New Zealand Officials Association
c/- Murray McKinnon,
Phone: 09 575 9033, Mob: 0274 806 086
email: [email protected]
NEW MEMBERSHIP APPLICATION FORM – TO 31 MARCH 2016
Who can join?
Any person involved with athletics, who has an Athletics New Zealand Officials’ grading of Level C
or above.
Why join?
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You are a member of Athletics New Zealand, with associated benefits, including insurance cover
*
*
*
*
while officiating.
You belong to an association that acts for the welfare of its members - an outlet for your views and
suggestions.
You are kept in touch with rule changes and interpretations.
You receive a free copy of the Association version of the IAAF Technical Competition Rule Book.
You stand out wearing our name badges & caps. (FREE name badge for new members).
What does it cost?
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Single membership
*
$20.00
Each additional person from the same address $10
To join:
Please fill out the form below in block letters, have your Centre Co-ordinator validate the form,
then send the form with your subscription payment to Athletics NZ Officials Association Secretary
c/- Murray McKinnon, PO Box 3594, Shortland St, Auckland 1140
Mr / Mrs / Miss / Ms / ………..
First names ........................................................
Surname .....................................................
(Please list all names and details for joint/family membership. Use extra forms or write on the reverse if necessary.)
Address
.......................................................................................................................................
...................................................................................
Phone No ......................................................
E-mail
Mobile ..............................................................
.....................................................................
Centre ……………………………………..............
Post code .............................
Birth date ...........................................
Current Grading ..…...…….. ......................
How do you wish your name to appear on your FREE name badge (Note two names only please)?
.......................................................................................................................................................
Centre Officials’ Co-ordinator to validate ……………………………………..Date…………………
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An association to foster participation in officiating in the sport of athletics
and to improve the standing of officials