Request edit access
NZPBA 74th Conference Observers Registration Form
7.30pm Friday 23rd July & 9.00am Saturday 24th July 2021

Copthorne Palmerston North, 110 Fitzherbert Ave, Palmerston North

Online form to be submitted with payment on or before 30th June 2021
Sign in to Google to save your progress. Learn more
Email *
Contact Name & Phone *
Contact Email Address *
Observer Names
$40ea includes morning tea and hot lunch
Payment Details
Payment to be made via bank deposit / Internet banking only Cheques will not be accepted

NZPBA.   03-1508-0003063-00

REFERENCE - Your Name. PARTICULARS - Conference

Date Payment Made *
MM
/
DD
/
YYYY
Dollar Value of Payment Made *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy