Conference Registration Form
Name (*)

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Surname (*)

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Institution,Organisation or Maori Entity (*)

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Postal Address

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Physical Address

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Telephone

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Mobile

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Email (*)

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Reason for attending the conference

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How did you find out about the conference?

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Registration fees, terms and conditions per attendee:


Registration closes Monday 17th September, 2012.

Full Registration - $300.00

Te Arawa FoMA Member (2012-2013) - $100.00

MRI Corporate Member (2012-2013) - $100.00

PROOF OF MEMBERSHIP WILL BE REQUIRED


Conference Dinner - Optional. Price $48.00 - Closes Monday 17th September, 2012.


Refund Conditions: Request for a registration fee refund must be made in writing to J. Watkins, Accounts Administrator, PO Box 12103, Rotorua, 3045. You must provide a copy of your registration receipt and a photo copy of a NZ registered ID. No refunds will be made after Friday, 31st of August, 2012.


Please address all your registration or general conference enquiries to admin@maoriresearchinstitute.co.nz or by telephoning Alex Walters on 07 533 1533 (NZ Only)


Conference Attendee Information

Invalid Input Please include the Names, Contact Numbers and Emails for each person attending the Conference.

PLEASE NOTE: Please select the ticket type from the drop down menu then select the number of tickets to purchase before pressing the "add ticket" button

Please select ticket type (*)

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Payment Type (*)

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Corporate Members

MRI Corporate Member
Humates
MRI Corporate Member
Agrissentials
Bennett Fertiliser