Registration Form



REGISTRATION FORM FOR THE
NEW ZEALAND BIOSECURITY INSTITUTE

NATIONAL EDUCATION AND TRAINING SEMINAR
(NETS2010)

21 – 23 July, Marlborough Convention Centre, Blenheim

KNOW HOW, CAN DO, JOB DONE!

Please complete one form per person. Refer to our next NETS page for detailed information on the conference.

Form Navigation

Please use the Tab key to move to the next field. All information should be typed in upper and lower case (eg William Smith). Required fields are marked with an asterisk *. On completion of the form, please click on the “Submit Registration Form” button. This will load your information onto a database and take you to a payment page. Once you have completed the payments details you will be emailed with a link to view/print your registration information. Alternatively, print the completed form and post to 

Carolyn Lewis
NETS2010 Conference Organiser
PO Box 108
Matangi

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SECTION A: DELEGATE DETAILS

Please give your name as you would like it to appear on your name badge.

Title*

 Prof    Dr    Mr    Mrs    Ms    Miss    
Given Name*
Surname*
Affiliation / Organisation*
Address1*
Address2
Town/City*
Country
Telephone* Format: +64 9 555 5555
Email*

Note: our main form of communication will be via email, so please ensure your email address is accurate and that our email domain name is on your safe list so not treated as junk mail.

 

Partner Name for Field Trip and Functions :

Please tick box if you require any of the following meals:   Vegetarian     Diabetic   Gluten Free   Dairy Free

Please indicate any other Special Requirements below (e.g. dietary, disability)

The Privacy Act 1993 provides that your name and address details can't be published in the list of seminar delegates for distribution to fellow delegates or any other party without your consent.
If you DO NOT wish to have your name and address details included in the list of delegates, please tick.

SECTION B: REGISTRATION FEES

All prices are quoted in NZ Dollars. Please note that registration fees include GST. The NZBI GST number is 55-470-081. The cutoff date for early registration is 13th June 2010.

PLEASE NOTE: MEMBERS’ DISCOUNT IS AVAILABLE ONLY TO MEMBERS WHO RENEWED THEIR ANNUAL SUBS BEFORE 30 APRIL 2010.

Select Registration Type (you must select one option)*:

Member - Late Registration $495
Non-member Late Registration $551.25
Student - Full Registration $202.50 (full-time students only)
Student Day Registration - $67.50 per day - see below (full-time students only)
Day Registration - $180.00 per day - see below

If you selected Day registration, please select days required from the table below:

 

Wednesday 21st

Thursday 22nd

Friday 23rd

Students - please complete:

Student ID number Name of Student Learning Organisation

Please bring your Student ID to NETS2010 registration desk.

Please indicate if you are a new member to NZBI or NETS and would like a buddy to introduce you to others.
Please indicate if you would like a free trial NZBI membership.

Full Registration (includes Member, Non-Member & Student/Retiree):

  • Includes a ticket to the NETS2010 Dinner
  • Includes a ticket to one of the three Field Trips. Refer to Section D for further details.
  • Does NOT include a ticket to the Mix ‘n’ Mingle function

Day Registration:

  • Does NOT include a ticket to the Mix ‘n’ Mingle function
  • Does NOT include a ticket to the NETS2010 Dinner
  • Does NOT include a ticket to a Field Trip (except for Thursday Day Registrations).

SECTION C: SOCIAL FUNCTIONS

MIX ‘n’ MINGLE FUNCTION – Wednesday 21 July, 6.30pm, Marlborough Convention Centre

HAPPY HOUR and NETS2010 DINNER - Thursday 22 July, 6pm, Marlborough Convention Centre

PLEASE NOTE: Please ensure that you purchase your tickets here as they will not be available for purchase during the seminar.

 

# of Tickets

Total Cost

Mix 'n' Mingle Function,  – Wednesday 21st July - $25.00

Tickets to the Mix 'n' Mingle are not included in any registration fee.  Please indicate number of tickets required.

NETS2010 Dinner – Thursday 22 July

One ticket is included in the Full Registration.  If you have full registration then for catering purposes please indicate if you plan to attend the dinner.


Yes I will be attending
No, I will not be attending

NETS2010 Dinner Additional – Thursday 22 July - $86.00

This section is for One Day Registration Delegates and/or partners. 
Please indicate number of additional tickets required
Social Total

SECTION D: FIELD TRIPS

Attendees with Full Registration or Thursday Day Registration only

These Field Trip tickets are free of charge with any Full Registration or Thursday Day Registration. Please indicate below the field trip you would like to attend and add your second choice at the bottom, or tick if you will not be attending a field trip.

Select your Thursday field trip option

Marlborough Sounds (limited to first 130 registered)
South Marlborough
I will not be attending a Field Trip
Some field trips have limited availability and places will be allocated on a first-in basis
Please type your second choice here.  

Additional Field Trip Tickets for Marlborough Sounds/South Marlborough, or Partners &/or Attendees with Day Registrations (Wednesday/Friday)

The cost for the above field trip tickets for Partners or Day Registration attendees is $50 per person. Please complete the section below if required.

Select your Thursday field trip option

 Number of Tickets Cost
Marlborough Sounds (limited to first 130 registered)
South Marlborough
No extra tickets required

Optional Field Trips

 

# of Tickets

Cost
Claybird Shooting - $35.00 for delegates
Claybird Shooting - $60.00 partners or Weds/Fri day delegate
Field Total

SECTION E: SEMINAR SESSIONS

For room allocation purposes, please refer to the full programme in the registration brochure and tick the box within each session time below that you are most likely to attend.

Wednesday, 1 - 3pm, Concurrent Sessions

Pest Plants    Pest Animals    Marine and Freshwater    None    

Wednesday, 3.30 - 5pm, Concurrent Sessions

Pest Plants    Pest Animals    Insects, good and bad    None    

Thursday, 9.00 - 11, Fieldtrip Backgrounders

Marlborough Sounds    South Marlborough    None    

Friday, 10.30-11.30am, Workshops

Advocacy    Training    Technology A    Technology B    None    

SECTION F: ADDITIONAL INFORMATION

Please add any additional notes here:

If you want to have a receipt sent out on receipt of payment then check this box

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If you would like assistance with any additional arrangements, please contact us using the contact details below.

For further information contact:

Carolyn Lewis
NETS2010 Conference Organiser
PO Box 108, Matangi
Fax (07) 829 6157
Ph (0274) 434 431
cl.sb@xtra.co.nz

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