Changing societies: Measuring people and places in transition

New Zealand’s Population Conference 2017

24 and 25 July 2017

Rydges Latimer Christchurch

Organised by the Population Association of New Zealand

Te Roopu Whaka Waihanga Iwi O Aotearoa

REGISTRATION FORM

Please complete and send to:

Shefali Pawar
NIDEA, University of Waikato
PO Box 3105, Hamilton, New Zealand / P: (07) 8379198
E: / ☐ / Please tick if you intend to present a paper at the Conference

Contact Details

Title: ☐ Mr ☐ Miss ☐ Mrs ☐ Ms ☐ Dr ☐ Professor

First Name / Click here to enter text. / Last Name / Click here to enter text.
Organisation / Click here to enter text.
Address / Click here to enter text.
Post Code / Click here to enter text. / Country / Click here to enter text.
Telephone (work) / Click here to enter text. / Mobile / Click here to enter text.
Email / Click here to enter text.

Registration Details

The registration includes the conference, morning and afternoon teas, lunch and the conference pack. Conference Dinner is not included.

☐ / Early bird registration for both days (PANZ members) / $295
☐ / Early bird registration for both days (non-members) / $325
Early bird registrations close on 5th June 2017
☐ / Standard registration for both days (PANZ members) / $350
☐ / Standard registration for both days (non-members) / $375
☐ / Standard registration for one day (PANZ members) / $225
Day of Attendance ☐ 24 July ☐ 25 July
☐ / Standard registration for one day (non-members) / $250
Day of Attendance ☐ 24 July ☐ 25 July
☐ / Full time students and unwaged (for both days)
(*please include a copy of your student ID) / $125
☐ / Conference Dinner (24 July) / $65
Total Payable: / $

Dietary Requirements

Please let us know if you have any special dietary requirements.

Allergic to: / Click here to enter text.
☐ / Gluten free / ☐ / Halal / ☐ / Vegetarian / ☐ / Vegan

Payment Details

Please select one of the following payment options:

☐ / Direct Credit
Population Association of New Zealand, Kiwi Bank, Wellington Branch
Bank Account Number 38-9016-0355974-00
** If paying directly please ensure that the reference details are filled out. The code is ‘17Conf’ and kindly include your surname or your invoice number as a reference.
☐ / Credit Card ( Visa and Mastercard ONLY)
Please process your credit card payment by clicking on the URL:
Important: Kindly include your Invoice number in the ‘Reference’ field and ‘PANZ2017Conf’ in ‘Particulars’. The payment receipt will be sent to you directly on the email address provided by you in the field ‘Email my receipt to’.
☐ / Please send me an invoice