Individual Registration

Please enter information in the form below to process registration for event TERNZ 2024 Registration.

First Name *

Last Name *

Organization *

Address

Post Code

Phone

Email *

Permission to share your name and email address with delegates

Yes

Permission to use conference photographs that include you on the HERDSA NZ website

Yes

Permission to send occasional HERDSA NZ communications

Yes

Likely to attend a Pre- conference workshop (details available later)

Yes

Amount

Payment Method

Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

TERNZ Registration