Friends Membership Form

Please complete the form below to become a friend of the New zealand portrait gallery or renew your membership

Payment can be made by direct credit to our bank account at:
The New Zealand Portrait Gallery Trust
BNZ 02-1269-0031621-001
Please include your name and the word ‘Membership’ in the payment particulars.

Membership type (including GST)

Single membership $50

Double membership $70

Artist $30

Student membership $30

Name

First Name

Last Name

Friends receive event invitations and the Gallery monthly newsletter by email.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Donation

If you wish to include a donation with your membership payment, thank you! Please enter the amount below and we will post a donation receipt to the address you supply. The New Zealand Portrait Gallery Trust is a registered charity (# CC21606) and all donations of $5 or more may be eligible for a tax credit.