Please complete the following details to apply for membership to join the Pastel Artists of New Zealand. Name * Address * Suburb/Town/City * Postcode * Phone * Mobile Email Address * Do you have a website you would like advertised? I would like to join PANZ as: * An Individual Member $45.00 A Junior Member (under 21) $20.00 A Senior Member (65+) $35.00 “Subscriptions cover a full calendar year. Pay 50% of the above if joining after 1st July” I will submit payment via Posting a cheque Direct Bank Deposit Payment options and/or postal address are shown on the next page. Other information CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.