Individual Registration

Thank you for registering for TERNZ 2022. We look forward to seeing you shortly.

First Name *

Last Name *

Organization *

Address

Post Code

Phone

Email *

Permission to share your name and email address with delegates

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

Permission to send occasional HERDSA NZ communications

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

Amount

NZD

Payment Method

Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

TERNZ Registration