logo2017 Annual Conference
Thursday, July 27
Te Papa Tongawera
55 Cable Street
Wellington
New Zealand

Registration form - use one per registrant please

 
Name:
First name Surname
Company:
Address:
Phone numbers:
Email:
Special Dietary Requirements:
Are you a member?
* NB: Non-member attendance is at the discretion of Agcarm
Fees:

Member - conference, cocktails, and dinner - $290

Member - conference and cocktails - $200

Member - dinner only $90

Non-member commercial - conference, cocktails, and dinner - $490

Non-member commercial - conference and cocktails - $400

Non-member not for profit - conference, cocktails, and dinner- $390

Non-member not for profit - conference and cocktails - $300

Payment: Note: A credit card facility will be available shortly. Upon receipt of this registration form Agcarm will send you an invoice and details for payment. Thank you.
Purchase Order:

Does your organisation require a purchase order number in order to complete this registration?

 

If yes, please advise the purchase order number:  

Is there anything else you would like to tell us?
Conference
Organiser:
Lee Sheppard
04 499 4225
Agcarm Inc
PO Box 5069
Wellington 6140
lee.sheppard@agcarm.co.nz
 

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