Australian and New Zealand

Australian and New Zealand Masonic Research Council

Seventh ANZMRC Conference

Tauranga, New Zealand, 5 – 7 November 2004

REGISTRATION FORM

This completed registration form should reach the Conference Treasurer no later than 31 August 2004. Please indicate if your registration fee and other deposits have been paid by direct transfer. Otherwise please enclose your cheque or other payment document with this form. Please do not send cash. All amounts are New Zealand Dollars.

Please cross out the options that do not apply.

Name / …………………………………………..
Address / …………………………………………..
…………………………………………..
…………………………………………..
Tel:………………… Fax:……………….
Email address:……………………………..
I will be accompanied by my wife/partner / Yes/No Name………………
Conference Dinner / I/we will be attending the Dinner / Yes/No Number……………
Accommodation / I/we would like to stay at the Hotel Armitage
If you are travelling on your own please indicate if you are prepared to share, and with whom
If you are not staying at the Hotel Armitage please indicate a contact address and phone number while you are in Tauranga / Yes/No
I/we will arrive on …………..
and will stay for … nights
Yes/No Name………………
Contact Address
……………………………..
……………………………..
Tel: 07 ……………………..
Ladies’ Program / My wife/partner would like to participate / Yes/No
Post-Conference Tour / I/we would like to participate / Yes/No
Number …………...
Transport / Please indicate if you will require transport on arrival in and departure from Tauranga / Arrival Yes/No
Departure Yes/No
Arrival by Coach/Air
Date ……………. Time…….
Registration Fee (includes lunches and refreshments, transport from and to the Hotel Armitage for three days) / $80.00
Dinner / …… @ $30 / $......
Hotel Armitage Deposit (if applicable) / ($60.00) / $......
Total / NZ$...... ….

Please indicate which method of payment applies: Payment is Enclosed /Direct Transfer

Please send this amount (in New Zealand Dollars) and form to the Conference Treasurer Ian Hastie, 45 Bayfair Dr., Mt Maunganui, New Zealand, Tel: +64 7 574 8004 Email: )

Please keep a copy for your own records.Please address any enquiries to the contacts listed on the information sheet.