Conference 2020 Registration
Registration for the Altrusa International District Fifteen Conference
Friday 1st May 2020 - Sunday 3rd May 2020
Rydges Hotel, 75 Featherston Street, Wellington

$30 Early Payment Discount available until 6th March 2020
$15 First Timer Discount available until 31st March 2020

$30 Late Registration Fee applies after 31st March 2020
Registration closes on Wednesday 15th April 2020
Email address *
Full name *
Please provide your first name and surname
Your answer
Contact Number *
Mobile phone preferred
Your answer
Special Requirements
Include dietary needs, relevant medical information, or other assistance requirements
Your answer
Local Altrusa Club *
First Timer *
If this is your first District Conference, you are eligible for a registration discount and should aim to attend the First Timer session immediately prior to the opening of the Conference on Friday afternoon.
Voting Role *
Current Office Held
Please select all that apply, or leave blank if no current office held
Online payment is required and should be made to
Account Number: 03-0525-0035273-000

Please make sure that your name and club show on our bank statement so that we can reconcile your payment

Refund of Conference Registration Fee
Conference fees will be refunded where possible as follows:
1. Up to 30 days prior to Conference, registrations will be refunded in full.
2. Fourteen to seven days prior to Conference, meal costs only will be refunded.
3. Seven days prior to Conference there will be no refund.
Any cancellation must be in writing to the District Governor.
Personal Registration *
Partner Registration
Tick options to register your partner, or leave blank
Partner Name
Please provide the name of your partner who will participate in activities listed above, or leave blank
Your answer
Attendee List
We wish to list the names of those attending in the Conference programme. Please tick the box if you DO NOT want your name included in the list.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy