Fly In Registration for the Gold Coast (AU24)

(Fields marked * are compulsory)

Register

Event Code

First Name *

Family Name *

Spouse / Partner

Address Details

Postal or Street Address *

City/Town *

Postal Zip Code *

Region / State *

Country *

Contact Details

Email Address *

This is where your confirmation will be sent.

Phone Number *

Your best contact number

Rotary Club

Your Rotary Club

Emergency Contact Name *

If we need to contact you urgently before the weekend - Someone not travelling with you.

Emergency Contact Number *

Ideally a mobile number for your emergency contact person.

Travel Details

Number Travelling in My Party *

Include your self in the total

Names of other People Travelling in Party if not Spouse or Partner

Other Information we should know?

Special requirements or other information the organiser should know

Aircraft Registration and Type

If applicable - please complete registration and type - ie. ZK-TBM C172.

Your ETA

If arriving commercially please indicate ETA of arrival to hotel, what arrival airport, day & flight number

POB

If applicable - To assist local transport organiser

Other Travel Information we may need to know

Extras

Sunday night meal booking

Number attending

Payment Details

Number of People in Party *

Please fill-in number and Total to Pay will calculate

Fly-In Cost per person A$275

This field does not require entry.

Total to Pay

Remember this amount - you will need it to pay this amount to finalise your registration

Bank Details for Payment

If you are human, leave this field blank.

THIS IS IMPORTANT

After clicking the submit button you will then receive an email message confirming receipt of your registration of interest:

If you do not receive any emails please contact the organiser using the Contact Us page:

IFFR NZ

International Fellowship of Flying Rotarians – New Zealand

Fly In Registration for the Gold Coast (AU24)