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.
