IFFR New Zealand Event Registration

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

Updated since 25 June 2008
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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 NZMT	(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:	($42.00 per person - cash bar available)
*Coach Tour Saturday:	($30.00 per person - includes entry fee to Stonehenge)
*Saturday lunch:	($14.00 per person)
*Dinner Saturday night:	($60.00 per person - cash bar available)
*Coach Tour Sunday:	($21.00 per person)
*Dinner Sunday night:	($40.00 per person - BYO)

*Sunday lunch:	(Ala Carte - pay as you go - but give number attending for catering purposes)

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.