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CONFERENCE INFORMATION & REGISTRATION FORM

Climate Change Conference

“Sustainable economic growth that doesn’t cost the earth!” 9-10 March 2016, Holiday Inn Hotel, Rotorua The conference programme includes two days of technical sessions and conference dinner. Registration includes lunches, teas and conference dinner. Standard Registration Please complete a separate form for each person

$345.00 including GST Accommodation not included

REGISTRATION FORM PLEASE COMPLETE THIS FORM AND RETURN IT BY FRIDAY 16 FEBRUARY 2016. You may complete this form EITHER by printing it, completing your details and posting it to Te Arawa FOMA at the address below, OR complete the form electronically and email as a Word document attachment to: jacwatkins@xtra.co.nz All returned forms will be acknowledged promptly. NAME Institution /Organisation (where relevant): POSTAL ADDRESS

COUNTRY TELEPHONE

MOBILE

EMAIL Reason for attending the conference

How did you find out about the conference?

Mode of payment:

 Cash  Cheque

 Internet banking (reference __________(Name)

To complete registration process: 1. Either post or e-mail completed registration form to: o Te Arawa FOMA, P O Box 12103, Rotorua 3045, New Zealand OR email to jacwatkins@xtra.co.nz 2. Payment can either be as a cheque to “Te Arawa FOMA” or electronic cash transfer. 3. Electronic Cash Transfer to be made to BNZ account number: 02-0412-0083199-00 Payment reference – please use “Conf. Fee” and surname/company as per registration form. 4. Please address all response forms and queries about registration to Conference Administrator, Jeanette Watkins jacwatkins@xtra.co.nz (027 435 7515). 5. Accommodation can be made direct through Holiday Inn Rotorua http://bit.ly/rotorua10off


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