New Zealand Medical Healing Conference 18-21 Oct 2018 Registration Form
Conference Dates: Thurs 18 Oct (6 PM - dinner) – Sun 21 Oct (12 PM - lunch)
Venue: El Rancho Christian Camp, Waikanae - 50 mins drive from Wellington airport
58 Weggery Drive, Waikanae Beach, Waikanae 5036. Ph: 04 902 6287. www.elrancho.co.nz
First Name *
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Family Name *
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Title *
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E-mail address *
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Your work type *
e.g. nurse, doctor, therapist, student etc.
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Street Address *
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Suburb
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Postcode *
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Country *
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Mobile phone number *
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Registration fee
Your registration fee covers registration and meals. If you are registering and paying for yourself and your spouse, please make sure your spouse registers separately and checks the spouse registration option. If your spouse has registered and paid for both of you, select the "spouse registration" option below. Note: Accommodation is NOT included in the registration fee - see below. Early bird registration has now closed. Please note: there is NO one-day registration offered.
Accommodation costs
(1) Elm Court. Twin shared bedrooms with single beds. Shared bathroom facilities. Small communal lounge. Bedding and a towel provided. NOT serviced units. Cost: $130.00 per person for the three nights. Please pay for this when you register. (2) Baker Lodge. Four units available. One unit has a double bed in one bedroom and three singles in the other. Three units have two single beds in one bedroom and three singles in the other. Each unit sleeps up to 5 people. Bedding and towels provided. Limited availability. First come, first served. To be booked and paid for by one person on behalf of a group renting the whole unit. *Please wait for email confirmation of availability before paying for this unit. Cost: $555.00 for the unit for the three nights.
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Amount paid
Please enter the amount you will be depositing into our account. Please use the format $####.##
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How to pay
An email confirming your registration will be sent once we receive a completed registration and full payment. Your registration will not be confirmed until your full payment has been received.

Please make your payment to this bank account:

Bank: Westpac
Account Name: PACYFIC Trust
Account number: 03-0578-0130530-00
SWIFT code: (Westpac New Zealand, Wellington): WPACNZ2W (for overseas telegraphic transfers)
Put your "family name" "first name" and "nzmhc18" in the particulars.

Cancellation policy
There will be NO refunds for any cancelled registrations. However, we can transfer your paid registration to another registrant that you nominate before 20 September 2018.
Declaration *
I understand that an email confirming my registration will be sent to me once a completed registration and full payment is received. I confirm that I have read, understood and agree to abide by the guidelines contained in the General Information sheet for the conference. Your personal information will be kept safe and not shared with any third party without your permission. If you have any queries, please email nzmhc18@gmail.com. Thank you.
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