Women in Super Event Registration Form

EVENT REGISTRATION FORM
To register for this Women in Super event complete the form, click on the Submit button and either post your cheque to us or credit your payment to our bank account at the details shown below. If you have trouble completing the form, or would like further information, please email us at info@womeninsuper.org.nz or phone us on 04 494 2484.
Event name:
Event date:
Event location:	DLA Phillips Fox, 50-64 Customhouse Quay, Wellington
Attendee name(s)
Contact details:
Company name:
Email contact:
	A registration confirmation email message will be sent to the above email address.
Postal address:
Phone:
Member:	Yes I am a Women in Super member
Payment Method:
Registration fee: per person Total to be paid:
Cheque to: Women in Super Inc, PO Box 3892, Shortland Street, Auckland 1140, or Direct Credit to the Women in Super Inc Bank Account No: 03-0502-0337332-00 “This form constitutes an invoice and receipt when payment is received. Please note we are not GST-registered.”
*PLEASE NOTE:* All cancellations must be received no later than 12.00 noon on the day prior to the event. We reserve the right to withhold refunds in the event of a cancellation.