Employer Services Limited

Registration Form

Business/Organisation Name:
Business/Organisation Address
& Phone Number
Email address
Name/s of person/s attending
Contact person's mobile phone number
Contact person's email address
Which event will you be attending?
Venue, date and time of selected workshop
Number attending

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 02-0492-0457428-083. Please use venue name and date as a reference.

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