Society for the Promotion of Cosplay Culture

Membership - Change of Information Form

Please Note - This form is only for existing members changing information.
All applications for new or renewal of membership should fill in this form instead.

Membership Application Type

* Change of Information

Member Number

* Full Name

Nickname

* Date of Birth (dd/mm/yy)

* Occupation

* Street Address

* Suburb

* City

PostCode

* Phone #

Emergency #

* Email

Photo

Please provide the Society with a suitable photo of yourself to be used on your membership card. Photos can be of any appropriate nature, provided they are a photograph of YOU.

I declare that all information provided is true and correct, and that I agree to abide by the rules of the Society as laid out by the Society.

* I agree to these terms *

* Verify

SUBMISSION OF AN APPLICATION FORM DOES NOT GUARANTEE MEMBERSHIP. The Society reserves the right to refuse any application. In the event that an application is refused, any payment already made will be refunded from date of unsuccessful application. Information you provide on this form will be kept on file by the SPCC and treated as confidential pursuant to the Privacy Act 1993, and may be shared with Society Officers and affiliated SPCC organisations as needed. If you believe we hold incorrect information, contact the Secretary directly for a copy of your details. Use this form to update your information by ticking the box labelled "Change of information". The Society Constitution can be viewed at any time online at www.cosplay.org.nz or by request.

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