PERSONAL DETAILS:
* Title :
* First Name :
* Surname :
* Community Group/Organisation :(Name, Position & Community Group/Organisation will appear on name tags at the Symposium)
* Occupation/Position :
* Phone :
Mobile :
Fax :
* Email :
* Postal Address :
Suburb :
* City :
* Country :
Postcode :
Special requirements (Dietary) :
Special requirements (Other) :
I do not wish to have my name published in delegate list :
I would like to be informed of future events :
I am directly involved in Wetland Restoration Projects on :
--SELECT--
Private land
Public land
Both
None
I would like to display a poster :applicable for Community Groups/Students (non-commercial)
REGISTRATION DETAILS
Symposium Registration
Only one can be selected
Earlybird Full Registration $295.00 inc GST
Standard Full Registration $325.00 inc GST
Community Group Members/Student/Private Land Owners Registrations $155.00 inc GST * A reduced registration rate is available for students, community groups and private landowners. Delegates registering at this rate may need to provide proof of your status as a student, community group or private landowner. These places are limited and their allocation is strictly at the discretion of the Symposium Organisers.
*Prices are in New Zealand Dollars and include GST of 12.5%
Fieldtrip "Introduction to the Bay of Plenty Wetlands" (limited numbers):
A guided day tour (by coach) as an Introduction to the Bay of Plenty Wetlands. Lunch included.
Please advise if you would like to attend the below:
Fieldtrip Wednesday $40.00
No. of Tickets
1
2
3
4
5
6
7
8
9
10
Pick-Up Time/Location
I would like to depart from:
Accommodation:
All accommodation rates are per room, per night and are based on 1-2 guests and do not include breakfast. See the website for accommodation information and descriptions.
Select Your Accommodation :
--SELECT--
Ambassador Thermal Motel
Astray Motel and Backpackers
Havana Motor Lodge
Hotel IBIS Rotorua
Novotel Lakeside Rotorua (Symposium Hotel)
YHA Rotorua, Treks Backpackers
No. of Nights :
1
2
3
4
5
6
7
8
9
10
* Check-In Date :
* Check-Out Date :
Sharing With :
No. of People :
Accommodation is to be paid in full with your registration. There is also a charge back facility available.
PAYMENT DETAILS:
Please Note:
All fees above are inclusive of 12.5% GST.
All payments must be received prior to the Symposium. If payment from your Organisation is not received prior
Payment Summary
Registration Fee Total :
Pre-Symposium Fieldtrip :
Accommodation Total
Total Amount Due :
Method of Payment
Please ensure your payment includes your registration fee, field trip and accommodation(unless charge back is being used). All prices are NZD Dollars and include GST of 12.5%.
By Invoice
Cheque made out to THE ORGANISER, Private Bag 3007, Rotorua Mail Centre, Rotorua 3046, New Zealand
Direct Debit
Credit Card
Once this form is submitted you will receive confirmation by both email and mail of your registration and accommodation details.
