Registration

2012 Academic Symposia Registration Form

Name:
Institution:
Address:
Email:
Telephone:
Fax:

Presenting a Paper (Yes/No/Unsure)
Presenting a Provocation (Yes/No)
Audio Visual Requirements: (List)
Conference Registration Costs Pre- Symposia Workshop One Day – Curriculum Design Two Days – Academic Leadership Fees Include Full Conference Pack and all meals and events on that day.	Early Bird (Before 1st July 2012) Normal $ 60 $80 $130 $150 $130 $150 Three Day Deal Early Bird Normal $300 $360
Which days/events you are Registering for: (e.g. Pre-Symposia,One, and/orTwo)

Special Dietary Requirements:
Fee Attached (Yes/No) 1 Note iIf you require an Invoice to your Institution. 2. Note to whom this Invoice should be addressed. Above payment must be received two weeks prior to the Symposia starting. 3. Direct credit may be paid to: Note your full name on Credit Paid in to Kiwibank 38 9010 0747 352 00

For Administrative Purposes
Confirmation Sent:
Receipt Sent:

Download registration form here

Inquiries and submissions to nzcdinstitute@gmail.com
Symposia sponsored by the
New Zealand Curriculum Design Institute
&
House of Montrose Education Consultants

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+64 7 846 7446

+64 27 3869 296

Registration

2012 Academic Symposia Registration Form

Download registration form here