Application Form

Your application covers your membership until 30th of September, in any one year. The Membership Fees are $15 per person or $30 per couple payable upon application. This fee can be paid by internet banking, or in person at NBS, Motueka High Street, or in cash at our Meeting Rooms by arrangement.

Our bank account:  SeniorNet Motueka Inc. 03-1354-0179057-016, at the Nelson Building Society.  It is important that you add your name as a Reference please.

Use the online form below to apply. If you prefer to apply using a hard-copy format, then print this page  and leave it in the mail box outside our rooms at 42 Pah St or give it to the person at the desk on Members’ Meeting or at any events.

For couples, please fill in a form for each person. Questions marked with an asterisk * mean an answer is required.

    Online Membership Application Form

    The Committee reserves the right to accept or decline membership.

    Note: By joining SeniorNet you agree that your personal information above will be used by SeniorNet Motueka Committee and Tutors for purposes of communicating with you regarding Club activities etc. SeniorNet Motueka makes every endeavour to respect your contact details with the utmost privacy and will never knowingly pass along your personal details to outside sources.