If you wish to register for the Reunion, please complete and post this for along with $50 deposit to confirm your expression of interest. All outstanding balances to be paid by 15th February 2012. Confirmation will be sent to you by email or post.

 

PERSONAL DETAILS -  Name (First Name/Surname):

 

___________________________________________________________________

 

Name (s) for ID Card:  ___________________________Regt # __________  DOB______

 

Number of people attending: __________________________

 

Additional Attendee Names:___________________________________________________________

 

Postal Address: Street: ___________________________________Suburb: _________________

 

 Town/City______________________        Country: _____________________________________

 

Email: ____________________________________________ Phone: _____________

 

BATTALION POSTING: Company: ____________________________Platoon _________________

 

SPECIAL REQUIREMENTS: Dietary Requirements: ____________________________________

 

Special Consideration, e.g. Wheelchair: __________________________________________________________________________

 

Would you like to have your name published in attendee lists:  (Yes)    (No)

 

PAYMENT DETAILS: Reunion Registration Fee NZ$200.00 per person includes GST.  A $50 deposit is required to confirm your expression of interest to attend the Reunion with all outstanding balances to be paid by15th February 2012.   I am registering ______________People

 

Persons attending @ $200 P/Person

No:

$

Less deposit $50 person paid upon interest to attend	$
Balance owing to be paid by 15th February 2012	$

 

Method of Payment: For those of you making payments within NZ, you have two options - by electronic transfer or by cheque. For those of you in Australia, it seems that the Bank Fees associated with electronic transfers are prohibitively expensive so we suggest you send an Australian Bank Cheque for the equivalent NZ$

 

All payments to be made payable to 1RNZIR. Bank Account Name: 1RNZIR. Bank: Westpac. Branch:  Rotorua. Account Number:  030415 0606629 00  If paying by internet banking or electronic bank transfer please include your name plus Reunion 2012  in the particulars for identification.

 

Please return your completed form together with payment to-- Reunion 2012, Rotorua RSA (Inc), PO Box 1037, Rotorua 3010, New Zealand, Phone: +64-7-348 1055  Fax:  +64 7 348 1052.  

Email:  rotrsa@xtra.co.nz