Joining Wellington SeniorNet

Wellington SeniorNet Membership Application Form


Join SeniorNet Form
Mr/Mrs/Miss
This is optional, but the information helps us with funding applications
SeniorNet membership subscription is based on a calendar year and is currently $25 for a full year, with progressive reductions through the year. Subscriptions for members joining in December cover the following year. In the panel below, click the joining period and subscription amount applicable on the date you complete this form.
If paying by online banking, what is the date of payment (dd/mm/yy)?

OnLine Banking Details

If you are paying by online banking SeniorNet Wellington is registered with most of the banks for “Bills Payable”, and this method of payment is preferable. However, if you do use the bank’s one-off payment facility,
​our bank account is: 06 0501 0624049 00.     
Please provide your details as follows:
Your SURNAME in the Particulars section     
Your INITIALS in the Code section      
The word NEW (or 3 zeros for Kiwibank customers) in the Reference section.     
Your membership will be confirmed after we have processed your application and payment.

Privacy statement: Please note that the information provided in this application form will be entered into our computerised membership database and be held securely for the purposes of communicating with you about relevant courses, news and invitations to events. We may share this information with the Federation of SeniorNet Societies Inc. (our national body) for funding purposes. Anonymous demographic data may be shared with funders, sponsors or government departments, but personal information will not be disclosed, unless you agree to this in order to participate in a sponsor’s offer. You may at any time ask for a copy of your information.