PERSONAL INFORMATION

• Your name
• Job Title

• Company Name
• Email address

• Telephone No
• Address if Receipt is required

EVENT INFORMATION

• • Number of Members Attending
  • Rate
  • Amount
  • Number of Non Members Attending
  • Rate
  • Amount

• Total Amount
• Are you a member of NZTCC? No Yes

• Are you a member of other chambers? No Yes
  Please specify which chamber
• Comments or special requests

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