Conference/Seminar Online Registration

Conference/Seminar Title
Personal Information
First Name
Surname
School Name
Phone Number
School Address
Town/City
Fax
Position
Email Address
Dietary Information
Vegetarian
Yes, I am a vegetarian
Other Special Dietary Requirements
Workshop Choices (Note: number of Workshops available is dependent on Conference)
Workshop One
Workshop Two
Workshop Three
Other (Field trips, Forums etc)
Applies to ASC only
I am a Gold delegate - I have attended five or more ASC conferences.
I am a Diamond delegate - I have attended every ASC conference since 2006
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Auckland
1D Lady Ruby Drive
East Tamaki
Manukau 2013
64-9-265 0854
 
Christchurch
89 Nazareth Avenue
PO Box 414
Middleton
Christchurch
64-3-338 4444
 
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