NZCAC Conference Registration Form

2018 NZCAC Conference Registration Form
To register online continue below. Note that all fields with an asterisk are required.

You may also register via post. A registration form can be found in our downloadable conference brochure.

Please enter your full name

First Name(*)
Please type your first name.

Last Name(*)
Please type your last name.

Your title (if applicable)

Title
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Please enter your email address

E-mail(*)
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Please enter your phone number

Area Code or Mobile(*)
Please select phone prefix

Phone Number(*)
Please enter your number

Please enter your address

Street Address(*)
Street address

Street Address (2)
Adress 2 if needed

City(*)
Enter your city

Country(*)
Enter your Country

Post Code(*)
Enter your Post Code

Please enter your organisation details

Organisation Name
Enter your organisation name

Title/Role
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Please tick if you are a NZCAC member.(*)

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Please tick if you have attended an NZCAC conference previously.(*)

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Where did you hear about this conference?(*)
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As part of your NZCAC Conference Registration, we appreciate your participation in this short survey:

In your opinion, what are the three most significant animal welfare issues in New Zealand?

Issue One(*)
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Issue Two(*)
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Issue Three(*)
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In your opinion, what is the most significant animal welfare issue internationally?

Biggest International Issue(*)
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Please check which conference(s) you wish to attend?(*)

Please select at least one option

*You will need to upload a scan of your current student ID below to be eligible for the Student rate
*NZCAC Member organisations may receive member discount for up to 5 delegates.

Conference Workshop: 19th of September 2018


Please indicate if you would be interested in attending the half-day workshop on Day 3 of the conference (19th of September 2018). Please note that attendance at the workshop is by invitation only and numbers are limited
Attend the workshop?

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Upload ID Image
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(*)
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