Ph: 09 430 0113

Registration Form

Organisation member of Chamber of Commerce/Clubs New Zealand/Aged Care Association?    Yes     No

Method of payment (tick whichever applies) – payment is required prior to the event.

Cheque to Employer Services Limited, P O Box 4120 Whangarei 0141. Please attach a copy of this registration form with your cheque.

Direct credit into bank account BNZ 02-0492-0457428-000. Please use venue name and date as a reference.

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