PHA Event Submission
PHA event registration can be managed online. Please submit the details of your event here. We will add the details to the Event section at www.pha.org.nz/events. Please allow five working days for the details to be added. If you have any questions please contact pha@pha.org.nz.
Email address *
Event Title *
Please tell us the title of your event.
Your answer
Location *
Please tell us the location for your event, this can be as specific as you like.
Your answer
Event Date and Time
Start date *
MM
/
DD
/
YYYY
Start time *
Time
:
End date
MM
/
DD
/
YYYY
End time *
Time
:
Description *
Please provide 100-400 words describing your event, kaupapa, speakers, etc.
Your answer
Cost *
Please provide the cost for members and non-members.
Your answer
Maximum number of registrations *
Please tell us the maximum number of registrations you can take. Our online events system needs this information.
Your answer
Contact Details *
Please provide the name, email address and phone number for people needing further information.
Your answer
Additional details
We can also manage registrations for concurrent sessions, and gather information on dietary and other special needs. Please provide these below.
Your answer
Images
If you would like to include a photograph or photographs, or an event flyer, please email these to pha@pha.org.nz.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.