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Using this form

To make a donation to Heritage New Zealand, simply fill in your details on the form below. A receipt will be posted to you. Remember that donations over $5 are tax deductible in New Zealand.

If you prefer, you may complete the form available here as a writeable pdf, print it out and post or fax it to us. Please contact Membership Services if you prefer to carry out your transaction over the telephone.

Read our Privacy Policy before you start completing the form.

The required fields are marked with an asterisk *

Please do not enter characters such as commas or dollar signs in the donations field.

Please disregard this additional comments field as it's used for form validation

Your donation

Donation details

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Amount

Please tick the box if your donation is $100 or more and you would NOT like to be acknowledged by name in our magazine

Your details

Heritage New Zealand Membership Number

Title * First Name * Surname *

Billing address Address * Suburb Town or City * Postcode Find your postcode Country

Email Address * Email Address Confirmation * Phone

Comments

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Please check the details you have entered prior to submitting the form. Upon submission the payment process will be initiated.

I have read and understood the privacy policy

Disclaimer

Payment

To ensure your security, credit card details are sent through a secure payment server. The currency referred to is New Zealand dollars. The accepted cards are Visa, Mastercard and American Express.

Bank security feature

If your credit card is issued by the Bank of New Zealand, Westpac or by a bank outside New Zealand, you may see a pop-up box (3D secure) after entering your credit card details into the online payment system. The "Verified by Visa" or Mastercard "SecureCode" scheme is a measure to promote security, and prevent fraudulent transactions. The 3D Secure facility requests a password related to the use of your card. The feature is provided by your bank, and is not related to Heritage New Zealand or this website. Please contact your bank directly if you have any concerns.

Trouble-shooting tip: Non-registration of your card for a 3D secure password or clicking 'cancel' on the 3D secure page may lead to your payment transaction being declined. Please try again, and wait for the 3D secure page to appear.

Address: Membership Services
Heritage New Zealand
Freepost 3206
PO Box 2629
Wellington 6140
New Zealand

Email: membership@heritage.org.nz

Tel: +64 4 472 4341
0800 802 010 (NZ only)

Fax: +64 4 499 0669