PSNZ (South Island) Regional Registration Form

PSNZ (South Island) Regional Registration Form

In association with the Ashburton Photographic Society
PERSONAL DETAILS
Title:
First Name:
Last Name:
Honours:
Mobile Number:
Email
example@example.com
Photographic Club: (Select one)
Do you belong to a Print or Digital Circle?
Access or Dietary Issues:
REGISTRATION OPTIONS:
Registration Type (includes Dinner for 1)
Dinner Plus One:
Saturday, 17th October 2026
Please select one (1) Field Trip from the choices below.
Field Trip Chosen.
For those going on the Ashburton Lakes, field trip, would you be interested in the helicopter flight option? If you are, the organisers will contact you after registrations close to discuss pricing.
Sunday, 18th October 2026
Please select one (1) Workshop from the options below.
Workshop Chosen
TOTAL TO PAY
Internet Banking Payment Details:

To pay via direct deposit into the convention account, please use the details below:

Account Name: Photographic Society of NZ Inc
Account Number: BNZ 02 0214 0063170 004
Particulars: SI Regionals
Code: {registrationNumber}
Reference: {lastName} {firstName36}

Please note this is a different bank account to that which you will have paid subscriptions to.

Registration is not complete until payment is received.
Should be Empty: