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REGISTRATION


Saturday /Sunday  February 13/14th 2010
AUT - North Shore City, Auckland

Please fill out all the boxes in the form below and hit the "submit" button.

You will shortly be sent an email with an invoice and payment method details.

A receipt will be issued as soon as your fee has been received and cleared.

(you must provide a valid email address in the form so we can respond!)
Registration cost:
Students               $50.00           
Earlybird               $100.00
 
After 15th January 2010              $130.00

$10.00 cashback for registered  EC-MENz members at Summit entry

  (become a member now!)
          



                                                                                                                                         
Forename
Surname
email
phone
Workplace name
Position
Town/city
Billet Offered
Billet Required
food requirements
Evening Meal
EC-MENz inc. MEMBER.....Non-member
ChequeElectronic TransferOther