Member Society Name:

Commissioner:
Phone:
Email:

Chieftain (CLANZ):
Phone:
Email:

Patron (CLANZ)

Membership
Secretary:
Phone:
Email:

Treasurer (acting)
Phone:
Email:
Newsletter:

Webmaster
IT Manager:
Phone:
Email:

N.Z. Rep.:
Phone:
Email:

Queensland Rep:

Sth. Australia Rep:
Phone: