Registration: Christchurch Convention

USER INFORMATION
Title:
First Name:
Last Name:
Address:
Address 2:
City:
Country:
Post Code:
Phone:
Cellphone:
Email:
Confirm Email:
Organisation:
AA  AL-Anon  Other  
Home Group:
Registration Type: Weekend or Day:
Weekend Earlybird - Cost $70-00
Day Registration - Cost $55  
Do you require airport pickup?:
Yes  No  
Friday BBQ Dinner:
Yes - Cost $35-00  No  
Saturday Lunch - Packed Bag:
Yes - Cost $15-00  No  
Saturday Dinner Including Dance:
Yes - Cost $45-00  No  
Please tell us about any special dietary needs or allergies.:
Friday Night Accomodation:
Yes - Cost $55-00  No  
Saturday Night Accomodation:
Yes - Cost $55-00  No  
I agree to the terms and conditions:  
 Read Terms & Conditions