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Full Name (required)

Address (required)

Phone/Mobile (required)

Email (required)

I agree to abide by the rules of the Ashhurst Memorial RSA Incorporated. The Ashhurst Memorial RSA Incorporated is non-secretarian and non-party political. (required)

Membership is not open to any person who is also a member of any party, organisation, association or other body whose allegiances or objectives are inconsistent with those of the RSA movement. It is a prerequisite that members of the Ashhurst Memorial RSA Incorporated be of good standing and believe in the ideals of the RSA movement.

Membership is:

Returned Service Personnel

Service Personnel including NZ Police

Associate

We(Proposer)
and (Seconder)

Nominate as a member of the Ashhurst memorial RSA Incorporated.