4th South Pacific SMS Symposium
|
1. Delegate Contact Details
|
|
Company |
|
|
Postal Address |
|
|
Postcode |
|
Delegate Name
|
|
First Name * |
|
|
Last Name * |
|
|
Email * |
|
|
Contact Number * |
|
2. Delegate Registration Details
Please select from the options below
|
Focus on Implementation of AIRCARE™
8.30am -12.30pm (A)
1 March 2012 |
Members $50 + GST
Non Members - $75 + GST
|
ZQN Basin Operations – Risk Assessment Workshop (B)
1.30pm 1 March to 5pm 2 March |
Member - $150 + GST
Non Members - $220 + GST
|
Focus on Implementation of AIRCARE™ & ZQN Basin Operations – Risk Assessment Workshop
1/2 March (A&B) |
Members - $200 + GST
Non Members - $295 + GST
|
|
Questions/Comments/Special Requirements |
|
Please calculate registration cost and insert here *
(A, B or A&B) |
|
PAYMENT
Preferred Method:
Direct Credit: Westpac Bank Account No. 03 0502 0013493 00
Quote your Company name or Surname as a reference
Cheque: payable to: Aviation Industry Association of NZ (Inc)
Credit Cards: Contact Accounts at AIA for processing on 04 472 2707
PAYMENT MUST BE RECEIVED BEFORE REGISTRATIONS WILL BE PROCESSED
|
Cancellation Policy
Cancellations received by 12 Feb 2012 will receive a refund less $30 administration fee. Cancellations received after 12 Feb 2012 will not receive a refund, however, a sustitute delegate can attend. You may substitute at any time, but formal notification must be given in advance to the conference organisers
|
|
I have read and accept the terms for payment and cancellation policy * |
Yes
|
|
Name * |
|
|
Image Verification |
 |
|
|
|
|
