IFFR New Zealand Event Registration

<%@ Language=VBScript %> IFFR New Zealand Event Registration - NZAP11

Pages updated May 2011
NZAP Programme
NZAP Registration


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 NZTE:	(To assist local transport organiser - please indicate Date & Time ie. 231500)

*Complete the box below with the number of people* attending the event.**
(Ensure you include yourself in the count!)
*Number in my party:	($225 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. We prefer that you pay by internet bank transfer. To do that please transfer the correct fee to account 02-0400-0375450-00 (BNZ Papakura) Account name IFFR NEW ZEALAND, and ensure you enter your Surname in the Particulars field and TE12 in the Reference field. . You should receive an email message within a few days from the event organiser confirming receipt of your registration. If you do not receive the confirmation contact the event organiser. 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.