Registration Form

Registration is per delegate and your submission may include accompanying person(s).

Note: this form has now been disabled as the symposium has finished.

Fields marked with a * are required.

Contact details

Title ---MrMsMrsDrProfOther Other (please specify)

First name*

Last name*

Affiliation/Organisation* (e.g. Department of Mechanical Engineering, University of Canterbury)

Position

Street address

City

State/region

Country*

Post code

Phone

Email*

Name(s) of accompanying person(s) (separate full names with commas)

Activities

All of the following optional activities are included with your registration. We would like to know which activities you are likely to join so that we have an indication of numbers for catering and booking purposes. Please also enter the number of persons for each activity (including yourself and any accompanying people).

Welcome reception* YesNo — Number*

Symposium dinner* YesNo — Number*

Excursion* YesNo — Number*

Payment method

Payments are made either via credit card or bank transfer (please see the registration page for instructions). The early bird price is available until November 30, 2017.

Price* Regular ($685 NZD)Single day ($150 NZD)†

Number of accompanying person(s)* ($200 NZD each)

Method* Credit cardBank transfer

The submit button has been removed because the symposium has finished.

† Note: the single day registration fee excludes the following: dinner, excursion and reception.