CANMOD 2023 Convention Registration Form
Hosted by CSMEE (Canterbury Society of Model and Experimental Engineers) PO Box 37 307 Halswell Christchurch 8245, New Zealand www.csmee.org.nz | csmeecanmod@gmail.com
Principle Attendee Full Name
*
First Name
Last Name
Additional Attendees Full Names
Full Name for any additional attendees (e.g Family Members)
Full Address
Street Number, Street Name, Suburb, City, Region, Postcode
Email Address
*
Enter your email address here
Phone Contact
*
Mobile or Landline Phone Number
Primary Club
*
Club you most often visit or hold your license with
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Equipment Details
Please enter all applicable details for any models, machinery and other equipment being brought along to the CANMOD 2023 Convention. NOTE: As you fill in more tables, extras will appear if you require them.
Equipment #1
Equipment #2
Equipment #3
Equipment #4
Equipment #5
Equipment #6
Equipment #7
Equipment #8
Equipment #9
Equipment #10
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Dinners & Uniform Ordering
Please fill in the following information applicable to ordering uniforms and the Convention Dinner.
ALL UNIFORM ORDERS ARE DUE BY OCTOBER 29TH 2022
Dinner & Uniforms
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Convention Dinner
Reserve your spot now at the official Convention Dinner.
$
35.00
NZD
Quantity
Price
Adults
0
1
2
3
4
5
6
7
8
9
10
$
35.00
NZD
Children
0
1
2
3
4
5
6
7
8
9
10
$
15.00
NZD
Green Convention Shirt (Mens)
The official CANMOD 2023 Shirt, in Green, Mens Sizing.
$
45.00
NZD
Men's Size
Quantity
S (52cm)
0
1
2
3
4
M (54.5cm)
0
1
2
3
4
L (57cm)
0
1
2
3
4
XL (60cm)
0
1
2
3
4
2XL (64cm)
0
1
2
3
4
3XL (70cm)
0
1
2
3
4
5XL (79cm)
0
1
2
3
4
Purple Convention Shirt (Mens)
The official CANMOD 2023 Shirt, in Purple, Mens Sizing.
$
45.00
NZD
Men's Size
Quantity
S (52cm)
0
1
2
3
4
M (54.5cm)
0
1
2
3
4
L (57cm)
0
1
2
3
4
XL (60cm)
0
1
2
3
4
2XL (64cm)
0
1
2
3
4
3XL (70cm)
0
1
2
3
4
5XL (79cm)
0
1
2
3
4
Green Convention Shirt (Womens)
The official CANMOD 2023 Shirt, in Green, Womens sizing.
$
45.00
NZD
Men's Size
Quantity
8 (46.5cm)
0
1
2
3
4
10 (49cm)
0
1
2
3
4
12 (51.5cm)
0
1
2
3
4
14 (54cm)
0
1
2
3
4
16 (56.5cm)
0
1
2
3
4
18 (59cm)
0
1
2
3
4
20 (62cm)
0
1
2
3
4
22 (65cm)
0
1
2
3
4
24 (68cm)
0
1
2
3
4
Purple Convention Shirt (Womens)
The official CANMOD 2023 Shirt, in Purple, Womens sizing.
$
45.00
NZD
Men's Size
Quantity
8 (46.5cm)
0
1
2
3
4
10 (49cm)
0
1
2
3
4
12 (51.5cm)
0
1
2
3
4
14 (54cm)
0
1
2
3
4
16 (56.5cm)
0
1
2
3
4
18 (59cm)
0
1
2
3
4
20 (62cm)
0
1
2
3
4
22 (65cm)
0
1
2
3
4
24 (68cm)
0
1
2
3
4
Green Convention Shirt (Children)
The official CANMOD 2023 Shirt, in Green, Children size.
$
35.00
NZD
Men's Size
Quantity
S (52cm)
0
1
2
3
4
M (54.5cm)
0
1
2
3
4
L (57cm)
0
1
2
3
4
XL (60cm)
0
1
2
3
4
2XL (64cm)
0
1
2
3
4
3XL (70cm)
0
1
2
3
4
5XL (79cm)
0
1
2
3
4
Post-Convention Activities & Final Confirmation
McLean's Island Event - *DINNER HAS SOLD OUT*
McLean's Island Railway are hosting convention attendees for two days following the CANMOD Convention on Tuesday 10th & possibly Wednesday 11th January 2023. If you are attending, please inform how many people will be attending the McLean's Island evening meal on Tuesday 10th January? *DINNER HAS NOW SOLD OUT*
Terms & Conditions Acknowledgement
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