INGENIUM 21St ANNUAL CONFERENCE and AGM

INGENIUM 21st ANNUAL CONFERENCE AND AGM

DELEGATE

First name Surname

Position Company name

Postal address City

Business phone Mobile

Email

Special dietary requirements or disabilities

REGISTRATION

INGENIUM Member @ $1,080 / $
Elected Rep @ $1,080
New Member @ $1,260
Non Member @$1,278
One day registration @ $513 Thur Fri Sat / Thu / Fri / Sat
Late fee (after 28 April) @ $99
Other

Please indicate your attendance at the following events:

WEDNESDAY

PRE CONFERENCE DINE AROUND deposit @ $20 / $

FRIDAY

AGM

FRIDAY AFTERNOON TOURS

Numbers are limited. Please indicate with 1 for first choice and 2 for second choice

Cool Clear Water – Waingake Water Treatment Plant
Slip Sliding Away – Tarndale Slip
Chattanooga Choo Choo – WA 165 Steam Locomotive Restoration
The Dock of the Bay – Tolaga Bay Wharf
Swing Low - Golf

ADDITIONAL SOCIAL TICKETS

x Thursday @ $65 / x Friday @ $80 / x Saturday @ $100 / $

ACCOMPANYING PARTNER

First name Surname

Postal address City

Special dietary requirements or disabilities

PARTNER FEE @ $225 $

PAGE TWO - Delegates Name:

Please indicate your attendance at the following events:

WEDNESDAY

PRE CONFERENCE DINE AROUND deposit @ $20 / $

PARTNERS TOURS

Thursday
Pacific Highway Tour @ $150
Scenic South Tour @ $150
Motu Bush Walk @ $85
Friday
Historical Sites and Scenes Tour @ $30
Takitimu Cruise @ $40
Saturday
West to Eastwood @ $85
Flight Training @ $110
Innovative Cocktails @ $60 / $

FRIDAY AFTERNOON TOURS

Numbers are limited. Please indicate with 1 for first choice and 2 for second choice

Cool Clear Water – Waingake Water Treatment Plant
Slip Sliding Away – Tarndale Slip
Chattanooga Choo Choo – WA 165 Steam Locomotive Restoration
The Dock of the Bay – Tolaga Bay Wharf
Swing Low - Golf

ACCOMMODATION

First Choice / Second Choice
Room type / Arrival Date / Departure Date
Prepay one night only / Prepay all nights / Pass my c.card details to Hotel / Motel as security in lieu of deposit / $

PAYMENT OPTIONS / GST No: 69 757 642

Cheque (payable to INGENIUM Conference) / Order No:
Visa / Mastercard / Expiry
Card Number

The Privacy Act 1993 requires that before your name and address details can be published in the list of delegates either for distribution to fellow

delegates or any other party, you must give your consent. If you DO NOT wish your name and details to be made available please tick.

Post to: 2008 INGENIUM Conference, The Conference Team, PO Box 20 051, Christchurch 8543 or Fax: 03 359 2602