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

Email(*)
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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 conference registration, we ask for 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?

International issue(*)
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Please select the appropriate option, including whether you wish to attend the Conference dinner(*)

Please select at least one option

*To be eligible for the student rate, you must upload a scanned copy of your current student ID below.
*NZCAC member organisations may receive a member's discount for up to 5 delegates.

Conference Workshop: 19 September 2018


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

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Do you have any dietary requirements? Please specify.
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Upload student ID
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(*)
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