IPU New Zealand 2020 Taster Days Registration

1

Title* This field is required.

Mr

Mrs

Miss

Ms

2

Name* This field is required.

First Name

Last Name

3

Gender* This field is required.

Male

Female

4

Date of Birth* This field is required.

Date

5

Email* This field is required.

example@example.com

6

Phone number* This field is required.

7

Home address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

8

High school name

9

Year of study* This field is required.

Year 13

Year 12

Year 11

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Which Taster Weekend would you like to attend?Students can attend more than taster weekend

July 4 - 5

July 11 - 12

August 8 - 9

August 15 - 16

September 26 - 27

October 9 - 10

11

I am interested in

Japanese Language and Culture

International Business

Teaching English as a Second Language (TESOL)

International Relations

Tourism and Travel Studies

12

Would you like to request a pick up and drop off service from Palmerston North airport/bus stop to IPU New Zealand?* This field is required.

YESNO

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Please provide time and location for pick-up and drop-offe.g. May 10: 11am - Pick up bus stop and May 12: 2pm - Drop off airport

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Privacy* This field is required.In submitting this registration you acknowledge that 1. You are required to pay the registration fee before your arrival at IPU New Zealand 2. IPU New Zealand will use photographs and videos that might include you for advertisement purposes

I acceptI don't accept