Registration for AQ prizegiving and breakfast at GNZQS 2021

Please let us know how many people are attending for catering purposes. Cut off date is May 10th.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Prizegiving and breakfast
Please tick if you are planning on attending either or both of these events. The Prizegiving is free to you. The breakfast cost is $5 to attend per person. Payment details below.
- Select All
- Yes I will attend the Prizegiving, 4.30 pm Friday 14th May
- Yes I will attend the AQ breakfast 8 am Sunday 16th May
Number of people attending with you.
Please let us know if you are bringing extra people, and how many, to either event. Do not include yourself, just the extras.
Payments details for breakfast
Please pay $5 a head for yourself and any guests to our GNZQS bank account ASB 12-3163-0177234-000 . Please put the amount you are paying in the box below

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