IFFR New Zealand Event Registration

<%@ Language=VBScript %> IFFR New Zealand Event Registration - NZMK

Updated since Jul 2009
News
Coming Events


Fly In Registration
(Fields marked * are compulsory)

Title:
*First Name:
*Family Name:
Spouse/Partner:
*Address:
Suburb:
*City/Town:
Post Code:
*Email:	(This is where your confirmation will be sent.)
*Contact Phone:	( ) (If we need to contact you urgently before the weekend.)
*Emergency Contact Name:	(Someone not travelling with you.)
*Emergency Contact Number:	(Ideally a mobile number for your emergency contact person.)
*Rotary Club of:
*Number travelling in my party:	(Include yourself in the count)
Names of people travelling in my party :
Special requirements or other information the organiser should know
Aircraft Registration &Type:	(To assist local transport organiser - please complete registration and type - ie. ZK-TBM C172)
ETA NZMK	(To assist local transport organiser - please indicate Date & Time ie. 231500)
POB:	(To assist local transport organiser)

*Complete each box below with the number of people* attending each event.**
(Ensure you include yourself in the count!)
*Friday Night Dinner:	($25.00 per person - cash bar available)
*Coach Tour Saturday:	($11.00 per person)
*Cave Tour:	($10.00 per person)
*Dinner Saturday night:	($45.00 per person - cash bar)
*Coach Sunday:	($19.00 per person)
*Sunday morning tea:	($6.00 per person)
*Cruise & Gourmet Lunch:	($77.00 per person)
*Motel Airport Transfers:	($6.00 per person)

Pay this amount:	<< Remember this amount - you will need it to pay this amount to finalise your registration.

THIS IS IMPORTANT After clicking the submit button you should see a registration confirmation message and the payment options . You will then receive an email message within a few days a message from the event organiser confirming receipt of your registration. If you do not receive both contact webmaster. We have had reports that Firefox web browser by Mozilla will not pass thru registrations. If you use Firefox print this page and fax/post to the organiser.