Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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
* Indicates required question
Email
*
Your email
Contact Name & Phone
*
Your answer
Contact Email Address
*
Your answer
Observer Names
$40ea includes morning tea and hot lunch
Your answer
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
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms