Registration Form

Please select the course name you wish to attend from the drop down menu then complete the rest of the form.

Fields marked with an asterix (*) must be filled out.

Course Name:*

Interested in this course:

Registering Interest

Am interested in this course but the dates do not suit.

First Name:*

Surname:*

Company/Organisation:

Postal Address:

Telephone:

Facsimile:

Email Address:*

Method of Payment:*

PayPal

Account

Please note we only send payment requests on confirmation of course attendance.

If you are a current account holder with Callaghan Innovation (used our services before) and wish to pay on account please forward a PO to accounts.payable@callaghaninnovation.govt.nz

We use PayPal to process your credit card payment in a secure environment. Please note you do not need to sign up to PayPal for us to process your payment. We will send a payment request through PayPal closer to your course start date.

Purchase order number:

Comments:

Please let us know of any other requirements eg. can only attend one day of a two day course.

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Registration Form