Hui Registration
Please fill in the form below.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Company Name
NZRAB Number
Dietary Requirements
First time attending a PHINZ Hui?
Yes
No
Are you interested in attending the social gathering after the event? (Tickets below)
Yes
No
Tickets
prev
next
( X )
Hui ticket (members)
inc GST
$
230.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Hui ticket (non-members)
inc GST
$
250.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Social Gathering
Price per person
$
25.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit Form
Should be Empty: