Event Registration
Taumarunui 13th-15th October 2017
First Name
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Last name
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Email:
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Home Phone:
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Passenger Names
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Mobile:
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Aircraft Type / Registration:
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Arrival Day
Number Attending
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Registration Fee per person
$20.00
Dinner Per Person
$40.00
Donation
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Total Paid = $
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Please Make Cheques payable to
Tiger Moth Club of NZ inc
Postal Centre 14,
Papakura, 2244
Auckland
New Zealand
Internet Banking to
ASB 12 3194 0023828 00

Please ensure you include your name as reference when making an internet deposit

Any questions please contact Grant Drinkrow (treasurer)at tigermothclub@gmail.com
Notes
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