OPERATIONAL RESEARCH SOCIETY OF NEW ZEALAND OPERATIONAL RESEARCH SOCIETY OF NEW ZEALANDThis form should be filled out and mailed, Emailed, or faxed to:
Membership Secretary
ORSNZ
PO Box 6544
Wellesley Street
Auckland.
New Zealand
Email: [email protected]
fax: Attn ORSNZ +64 (9) 3737468
Please enrol me as a member of the Operational Research Society of New Zealand, at the membership grade indicated below. I enclose the following fees.
Current fees for 2003/2004 (and subsequent years). Tax Invoice (includes GST). GST No. 55-449-481
| Standard Membership | $70.00 |
| Student Membership* | $15.00 |
| Retired Membership (existing members only) | $15.00 |
| Corporate Membership# | $160.00 |
| Corporate Sponsorship# | $420.00 |
| Newsletter Only (Libraries) | $15.00 |
| Conference Proceedings | $20.00 |
* Student certification required; see below.
# A Corporate Member can nominate 2 persons as members, but only 1 of
these people may have voting rights. A Corporate Sponsor can nominate 5
persons as members, but only 2 of these may have voting rights. Only
those nominees with voting rights shall be eligible to hold office on
Council.
Name ____________________________________________________________________
Address __________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Telephone Number ______________________ E-mail______________________________
Web home page ____________________________________________________________
Occupation ________________________________________________________________
Affiliation _________________________________________________________________
Special interest areas _________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___ I agree to publication of my name, occupation, affiliation, interests, Web address and Email address by the society. (Please tick if you agree, or leave blank otherwise.) See the ORSNZ home page, http://www.orsnz.org.nz for the list of current members.
I agree to be governed by the constitution of the ORSNZ, and to remain liable for subscriptions until I notify the Secretary in writing of my intent to withdraw from the Society.
Signature____________________________________ Date_______________________
Total payment enclosed $_______________
(Either send a cheque made payable to ORSNZ, or complete the following credit card details.)
Please charge my VISA/Mastercard card: (circle one)
Name on Card _______________________________________________________________
Card number______________________________________ Expires___________________
Amount to charge $_______________
*Student Certification
I certify that either (tick one)
___ I am currently undertaking full time study, or
___ I completed a full time course of study last year
Institution _______________________________________________________________
Signature of Instructor or Head of Department ___________________________
Name of Instructor or Head of Department _____________________________
Date _______________