MULTIPLES NZ NATIONAL TRAINING FORUM GALA DINNER REGISTRATION FORM 2018
The Multiples NZ Executive is looking forward to hosting you all at this year's National Training Forum Gala Dinner. The value of meeting face to face, sharing struggles and celebrating successes is immeasurable.

FORUM PURPOSE: To strengthen Clubs, Club Committees and Club Volunteers so that they can better support our families in their local communities.
AUDIENCE: Club Committee members/Volunteers and External Support Organisations
VENUE: Brentwood Hotel, Kilbirnie, Wellington (venue of the 2015 National Conference)
DATE: Saturday 27th 7pm - A Glam Night of Celebration


Email address *
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Are you a member of a Multiples Club or Multiples NZ? *
Your answer
If Yes, please state which Multiples Club you are a member of: *
Your answer
List your Committee or Volunteer Positions within your Club (if applicable)
Your answer
The Gala Dinner Fee is $ 80.00
We can accept direct credit payment via Internet Banking or you can pay by Credit Card via PayPal Club Name, Particulars - Number of registrations)
For Internet Banking -.please pay Multiples NZ 02-0261-0100384-003, Reference - Club Name, Particulars - Number of registrations
For PayPal - go to the Buy Online tab of the Multiples NZ website
I will be paying by: *
Please list any dietary requirements or health matters we need to be aware of: *
Your answer
Any other relevant information we need to know?
Your answer
This is going to be a fantastic night and we can't wait to see you
A copy of your responses will be emailed to the address you provided.
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