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Registration for AQ prizegiving and breakfast at GNZQS 2021
Registration for AQ prizegiving and breakfast at GNZQS 2021
Registration for AQ prizegiving and breakfast
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
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Grenada
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Guinea-Bissau
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Haiti
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Indonesia
Iran
Iraq
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Isle of Man
Israel
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Jamaica
Japan
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Jordan
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Kiribati
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Kyrgyzstan
Lao People's Democratic Republic
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Lesotho
Liberia
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Lithuania
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Madagascar
Malawi
Malaysia
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Mali
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Mayotte
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Namibia
Nauru
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New Caledonia
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Niger
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Niue
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Norway
Oman
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Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
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Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
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Saint Lucia
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Samoa
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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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