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"Connect-Ability" - Facilitating Inclusive Networks
May 17th-18th 2020 - Queenstown

This Registration Form is to be used only by one delegate from Principal Member Centres who will receive free registration, return travel to Queenstown and 2 nights accommodation.
Additional delegates from Centres must not use this form. Registration for them is available at https://www.surveymonkey.com/r/memberreg20   
PLEASE NOTE - ALL QUESTIONS WITH AN ASTERISK * MUST BE ANSWERED OR YOUR REGISTRATION WILL NOT BE ACCEPTED!!!

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* 1. Surname

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* 2. First Name

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* 3. Organisation

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* 4. What position do you hold in your organisation?

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* 5. Email 

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* 6. Mobile

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* 7. Work phone

TRAVEL REQUIREMENTS
Airport transfers and parking costs are the responsibility of the delegate. People who are driving to Queenstown should record their km's for reimbursement at a rate of 70c per km. Where a delegate chooses to drive when flying would be a cheaper option the Federation reserves the right pay the lesser amount as reimbursement. Air travel bookings cannot be transferred to another person. If the delegate cancels their flights their Centre will be responsible for reimbursing the Federation for the cost of the airfares. Member Centre reps must be in Queenstown on Sunday 16th May to attend the Federation General and Regional Update Meeting at 2pm. Parking is available at the venue for guests.

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* 8. I will travel by road to Queenstown

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* 9. Date of planned arrival in Queenstown if travelling by road?

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* 10. I will travel by air to Queenstown

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* 11. Name of departure airport

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* 12. I wish to fly into Queenstown on (date)

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* 13. I wish to fly home from Queenstown on (date)

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* 14. Disability related needs for airtravel?

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* 15. Any additional requirements or comments in relation to travel?

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* 16. Air NZ Airpoints number?

ACCOMMODATION REQUIREMENTS
Accommodation in a Standard Room at the Copthorne Hotel for all Principal Member ‘free’ delegates will be paid for by the Federation for the nights of Sunday 16th and Monday 17th May. Breakfast buffet in the restaurant for one person is included but any other costs such as phone calls, internet, mini bar or room service are the responsibility of the delegate. Accommodation outside of these dates is the responsibility of the delegate and must be paid for on departure from the hotel. Extra nights will cost $170 per night single occupancy including breakfast. (All delegates will be required to provide a credit card at check in so please make sure you have one with you.)

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* 17. Hotel Arrival date:

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* 18. Hotel Departure date:

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* 19. Number of persons in room:

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* 20. Name of other person sharing room:

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* 21. Please state any disability related needs e.g. accessible room

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* 22. Please state any special dietary needs.

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* 23. Any additional requirements or comments in relation to accommodation?

The Awards dinner is included in the free registration for ONE person. If you require additional bookings for this please indicate below.

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* 24. Number of EXTRA tickets for the Awards Dinner at $90
(an invoice for these will be sent to the attendee c/o their organisation and must be paid prior to the conference)

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* 25. Any further comments or questions?

THANK YOU FOR REGISTERING. CONFIRMATION AND FURTHER INFORMATION WILL BE SENT TO YOU. PLEASE CLICK DONE  to EXIT - IF THIS DOES NOT HAPPEN PLEASE REVIEW YOUR ANSWERS AND MAKE SURE YOU HAVE ANSWERED ALL REQUIRED QUESTIONS.
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