New Member Registration

Section A - Delegate's details(Please do not use block capitals)

Name(as it will appear on your ID)

 

Address

Institution

Contact DetailsPlease enter phone numbers using international format, e.g. +64 9 123 4567

Special Requirements, if any

DIET

Section B - You and your privacy

Section C - Conference Registration Fee

NZSA / ASA Members
Early Bird
Standard
Consultant / Fellow
NZ$ 950.00 Early Bird
NZ$ 1095.00 Standard
Registrar
NZ$ 750.00 Early Bird
NZ$ 795.00 Standard
Non-Member
Early Bird
Standard
Consultant / Fellow
NZ$ 1095.00 Early Bird
NZ$ 1195.00 Standard
Registrar
NZ$ 850.00 Early Bird
NZ$ 900.00 Standard
Technician / Nurse / allied health
NZ$ 600.00 Early Bird
NZ$ 645.00 Standard

 

Section D — Conference Activities

Thursday, 24 August 2017

Registration and Welcome Function (Thursday 5-7 p.m.)
Pounamu Room, The Heritage Queenstown
0.00

Friday, 25 August 2017

Bus to Coronet Peak
Total number of bus tickets required
0.00
Delegate Packed Lunch
0.00
Additional Packed Lunches
Number of additional packed lunches
0.00
Number of additional vegetarian lunches
0.00
Number of additional GF lunches
0.00
Airway Workshops (Both workshops are now full)
Conference Dinner Skyline Restaurant
Delegate Conference Dinner Ticket
0.00
Additional Conference Dinner Ticket/s
0.00

Saturday, 26 August 2017

Bus to Coronet Peak
Total number of bus tickets required
0.00
Delegate Packed Lunch
0.00
Additional Packed Lunches
Number of additional packed lunches
0.00
Number of additional vegetarian lunches
0.00
Number of additional GF lunches
0.00
BBQ Function Coronet Peak
Delegate BBQ
0.00
Additional BBQ ticket - Adult
0.00
Additional BBQ ticket - Youth (<17 yrs old)
0.00
TOTAL FOR SOCIAL PROGRAMME
$0.00

Section E — Cancellation Policy