Exit Queenstown 2021 Member Registration Federation Training Conference "Connect-Ability" - Facilitating Inclusive NetworksMay 17th-18th 2021 - Queenstown Members Only National Meeting and Regional Updates Sunday MAY 16th.This Registration Form is to be used only by delegates from Federation Member Centres who will receive a reduced registration fee which covers conference and member sessions, including catering and one entry to the Awards Dinner. Travel and accommodation arrangements are the responsibility of the delegate however, if we can assist you in any way please contact executiveofficer@thefederation.nzAn invoice for the reduced Registration fee of $250.00 plus gst will be emailed to you. This will be reduced further to $200.00 plus gst if you register before 31st March. Fees must be paid to confirm Registration.PLEASE NOTE - ALL QUESTIONS WITH AN ASTERISK * MUST BE ANSWERED OR YOUR REGISTRATION WILL NOT BE ACCEPTED!!! Question Title * 1. Surname Question Title * 2. First Name Question Title * 3. Organisation Question Title * 4. What position do you hold in your organisation? Question Title * 5. Email Question Title * 6. Mobile Question Title * 7. Work phone Question Title * 8. I will attend the Members only meeting at 2pm the afternoon of Sunday 16th May Yes No Other (please specify) Question Title * 9. Will you be staying at our venue, the Copthorne Lakefront hotel? (Please note, we have secured a special rate of $170 per night including breakfast for a limited number of rooms so we suggest you book early - see brochure for details and booking code) Yes No Other (please specify) Question Title * 10. Please state any disability related needs e.g. accessible restrooms Question Title * 11. Please state any dietary needs. The Awards dinner is included in the registration for ONE person. If you require additional bookings for this please indicate below. Question Title * 12. 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) Question Title * 13. Any further comments or questions? THANK YOU FOR REGISTERING. CONFIRMATION AND AN INVOICE 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. Done