Registration

Please complete the following form.

 

First Name *:
 
Last Name *:
 
Date of Workshop:
Christchurch - 24th May 2013
Wellington - 27th May 2013
Wellington - 28th May 2013
Auckland - 30th May 2013
Auckland - 31th May 2013
 
Organisation:
 
Position:
 
Email Address *:
 
Mobile Number *:
 
Other Contact Number:
 
Address *:
 
State/Country *:
 
Post Code *:
 
How did you hear about WSP :
 
Select Payment *:
15% Lianza Early Bird discount before 24/4 A$765/2 days
 
15% Lianza Early Bird discount before 24/4 A$382.50/day
 
12.5% Lianza discount after 24/4 A$394/day
 
12.5% Lianza discount after 24/4 A$788/2 days
 
12.5% New Delegate discount A$788 for 2 days
 
Standard A$450/day
 
Standard A$900/2 days
 
Test Payment of 1 Cent
 
Lianza membership Number:
 
Verification Code:
 
 
 
 
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