NZCAC

The 21st NZ Companion Animal Conference 2010

To guarantee your registration please complete the registration form below. Closing date for registrations is Monday, 27th September 2010.

Alternatively registration forms can be printed and posted to the address below:

Postal address:

NZ Companion Animal Council

NZCAC Conference

PO Box 43221, Mangere Manukau 2153
Physical address:

NZ Companion Animal Council,

C/- 50 Westney Road, Mangere Manukau 2153

Name

Representing

Postal Address

Email

Telephone

Fax

NZCAC Member ?	Yes No

Number Attending

Please list attendee names here


Conference


No. of Members @ $ 110 pp

No. of Non-members @ $ 135 pp

No. of Students @ $ 60 pp


Exhibition Trade Stand


3m x 3m including tables @ $ 250	Yes


Awards Dinner


No. of Members @ $ 95 pp

No. of Non Members @ $ 110 pp


Meal Preference


Regular (No. of people)

Vegetarian (No. of people)

Vegan (No. of people)


Membership Fee


Individual @ $ 25 pp

Organisation @ $ 50

Student/Senior @ $ 15 pp

TOTAL COST (please calculate)

Payment Options	Cheque (please make payable to NZCAC) I have paid by direct Bank credit to NZCAC 02 0342 0128274 02 Please charge my credit card

Card Type	Visa Mastercard Amex Diners

Card Number

Expiry Date

Name on Card


Additional agendas and registration forms are available from:



Bob Kerridge Telephone: 0064 9 256-7316 Mobile: 0274 959-449 Fax: 0064 9 256-7314 Email: bob.kerridge@spca.org.nz

The New Zealand Companion Animal Council Inc.
C/- SPCA Auckland Inc., PO Box 43221, Mangere, Manukau 2153, New Zealand
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