NZMRM 2026 CONFERENCE PORT DOUGLAS

nzmrm (#4)

Company Name

Email

First Name - as per passport

Surname - as per passport

Name badge details:

Mobile

You are registering for:

Flight and Accommodation Package

Conference Only

Travel Document:

NZ Passport

Other

Room Type:

Single

Double

Do you want to Extend:

Yes

No

Please provide extension details:

Air New Zealand Airpoints Number:

Do you have a travel partner:

Yes

No

Partner Details:

Partner's first Name - as per passport

Partner's Surname - as per passport

Name badge details:

Are you attending the welcome function?

Yes

No

Are you attending the Tuesday night Dinner?

Yes

No

Are you attending the Wednesday night Dinner?

Yes

No

Company address for your pack to be sent to:

Address Line

Suburb

City

Postcode

Country