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See below for ways to submit your completed application.

Subscription: January 1 to December 31, 2025, is $10 per person, $15 a couple

Your Subscription can be paid via Internet Banking: 

Account Name / Number: SeniorNet Ashburton Inc:   03 0835 0031956 00

Reference & Code: Please use your Surname

Alternatively: Cash payment can be made at a SeniorNet Ashburton meeting.
  Note: A small fee may occasionally be charged to cover non-standard costs.

Privacy and Disclaimer Statements

By providing my personal information to SeniorNet Ashburton Inc:

I acknowledge this personal information will be collected and stored by SeniorNet.

I agree that SeniorNet may collect, store, use, and disclose my personal information:

a. to provide information or services to me;

b. for administrative purposes, including managing records of members;

c. to contact me;

- for any other reason permitted by the Privacy Act 2020.

I acknowledge that if I do not provide the requested personal information, then

SeniorNet Ashburton may not be able to process my membership application

or provide information or services to me;

I agree to advise SeniorNet of any changes to my personal information, so that

SeniorNet Ashburton can keep the information held up-to-date; and

I acknowledge that I have a right to request access to, or correction of, the

personal information held by SeniorNet Ashburton Inc.

I acknowledge that:

1. By submitting this application, I am consenting to becoming a member of

SeniorNet Ashburton Inc.

2. I am solely responsible for keeping my passwords secure and will not divulge

them to SeniorNet Ashburton Tutors or Officers.

3. In requesting SeniorNet Ashburton to provide services, including help with my

device(s), I acknowledge and agree any such services will be provided by

volunteers on a "all care, no responsibility" basis and that neither SeniorNet

Ashburton, nor any of its tutors, will be liable for any loss, damage or cost

howsoever caused arising out of, or in any way related to, such services or

SeniorNet Ashburton's, access to or use of my device(s), including:

a. loss, damage or corruption, of any software, files or data, on my device(s), or

the cost of retrieving, restoring or recreating such data, records or files; or

b. loss or damage to my device(s), including the loss of functionality of my

device(s).

4. I agree that I will not bring any claim against SeniorNet Ashburton Inc, or any

of its tutors in relation to any services provided.

Signed:____________________________________________________ Date:__________________