TE AKATEA Conference 2017 June 8th & 9th
Marine Parade - Napier
2017 Conference Registration Form

CONFERENCE FEES
Members Non-Members
U1-3 Schools $500.00 U1-3 Schools $625.00
U4+ $600.00 U4+ $725.00
Other organisations $600.00 Other organisations $725.00

U4+ Schools with 3 or more registrations - $550.00 per delegate.
(All must be members and all must be registered teachers at the one school)
Please get each person to complete the form and request an invoice.

SIGNING UP FOR MEMBERSHIP IS SIMPLE AND QUICK AND ONLY COST $75. SEE THE WEBSITE FOR DETAILS

Payment options
Invoices can be generated by selecting the appropriate box in the form. All payments will be receipted.

When paying by Online Banking please put your INITIAL AND SURNAME in the Particulars box and your school's NAME in the reference box.

The account details are.

TE AKATEA ASB Te Rapa Branch A/c 12 3253 0027168 00

Please make cheques out to TE AKATEA and ensure they are crossed Not Negotiable.
Please send to:

Education Services Whangarei
PO Box 1793,
Whangarei, 0140
Attn: Te Akatea Conference Coordinator

First Name *
Your answer
Surname *
Your answer
Email address *
Please ensure this is correct or you will not get our panui or any other information. Check for capitals etc.
Your answer
School Name *
Your answer
Iwi *
Please list your Iwi here - for statistical purposes only
Your answer
Roopu / Aka *
If you are not in an area that has a current AKA please write in the region you are based in.
School U Grade *
School Phone Number
Your answer
Mobile Number
Your answer
Sector *
Position *
Invoice *
I give permission for my contact details to be shared with our Kiwi and Kereru level sponsors. (Contact details will not be shared with any other entity.) *
Membership status - Are you a member of Te Akatea (or will be very shortly) *
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