ATTENDEES DETAILS

YOUR NAME
SPOUSE/GUESTS NAME
YOUR EMAIL ADDRESS
MEMBERSHIP NUMBER	Non members enter zero here

Please note that these prices are available until the 1st February 2012 after which they will increase.

	Quantity	Price	Total
Member Conference Registration
Non Members Registration
Members Wishing to attend AGM only
Spouse and Guests - Friday Night Dinner
Spouse and Guests - Saturday Lunch
Spouse and Guests - Diner Dance Saturday Night
TOTAL:

DO YOU HAVE ANY SPECIAL DIETARY OR OTHER REQUIREMENTS?

NOTES
Conference registration includes Friday afternoon tea, Friday dinner, Saturday morning tea, lunch and
dinner and Sunday morning tea. Your conference registration fee does NOT include you or your guests
accommodation or morning and afternoon teas or lunches for spouses and guests

PAYMENT OPTIONS

PAYMENT BY CHEQUE		PAYMENT BY DIRECT CREDIT		PAYMENT BY CREDIT CARD
Post your cheque to: TINZ CONFERENCE 2011 PO Box 87 475 Meadowbank Auckland 1742		ASB 12 3143 0036936 00		PAY BY CREDIT CARD

In all cases, please make sure you give us your membership number, name and reason for payment eg
Conference 2012 Registration.

TaxAgents Institute of New Zealand, Strength in Numbers