Delegate Registration
Title *
Given Name *
Your first name
Family Name *
Your family / second name
Preferred Name *
The name by which you prefer
to be called.
Organisation *
Your Organisation. If you are
an individual, please enter
Individual
Work Phone *
Your normal work phone
Home Phone *
Your home phone
Mobile Phone
Your mobile phone
Email *
Your regular email address.
It's best if we can contact
you at this email address
Registration Type *
Flight Options

Flight Package Options

This year we are offering
a bundled Conference / Air
Travel package.
Please select from the list
PACKAGE 1 - Qantas ex Auckland
PACKAGE 1 - Qantas ex Auckland
PACKAGE 1 - Qantas ex Auckland - $3230.00
PACKAGE 1 - Qantas ex Auckland - $1200.00
PACKAGE 1 - Qantas ex Auckland - $2250.00
PACKAGE 2 - Air New Zealand ex Auckland
PACKAGE 2 - Air New Zealand ex Auckland - $1385.00
PACKAGE 2 - Air New Zealand ex Auckland - $2435.00
PACKAGE 2 - Air New Zealand ex Auckland - $3415.00
PACKAGE 2 - AirNZ ex Wellington
PACKAGE 3 - Air New Zealand/Qantas ex Christchurch
PACKAGE 3 - Air New Zealand/Qantas ex Wellington
PACKAGE 3 - Air New Zealand/Qantas ex Wellington - $3315.00
PACKAGE 3 - Air New Zealand/Qantas ex Wellington - $1285.00
PACKAGE 3 - Air New Zealand/Qantas ex Wellington - $2335.00
Travel Options
Travel Options
Social Events
Thursday Night Supplier Function
Open to registered conference suppliers only
*
No
Yes
 Are you attending?
Friday Night Welcome Drinks and Canapes
Open to all registered conference delegates
*
No
Yes
 Are you attending?
Saturday Night - Gala Awards Dinner
Open to all registered conference delegates
*
No
Yes
 Do you wish to participate?
Green Cross Health Annual Golf Tournament
Open to all registered conference delegates
*
No
Yes
 Do you wish to particpate?
Thursday Optional Excursions
Yarrah Valley Tour *
No
Yes
 Are you wishing to participate?
Colonial Tramcar Restaurant *
No
Yes
 Are you wishing to participate?
Laneway Art Tour *
No Yes
 Are you wishing to participate?
Special Requirements
Special Dietary Requirements
Please let us know of any special
dietary requirements you may have
Comments / Notes
Please let us know of anything at
all that could help us make your
time at the 2015 Conference more fulfilling
* = Required field
Register