Financial Hardship Form
Please complete the form below if you would like to attend LIMMUD NZ but are unable to pay the full amount. We will get in contact with you to discuss options.

Please note that this request will be treated confidentially and discreetly and is subject to approval.

LIMMUD 2016
Name *
Your answer
Email *
Your answer
Address *
Your answer
Contact numbers
Please provide at least one phone number.
Home phone
Your answer
Work phone
Your answer
Mobile phone
Your answer
Other information
Which days or session(s) would you like to attend? *
Your answer
Are you able to make part payment and/or volunteer at the event? *
Please elaborate and let us know how much you are able to pay and/or which voluntary services you are able to provide, e.g., catering, transporting presenters, assisting at the event, with setup or clearing up, etc.
Your answer
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