Registration for AGM and Member Dinner 14th July Networking Event Registration Form Contact Information* First Name Last Name Email Address* Company/Organisation* Other InformationAre you happy for your name to be published on the list of event attendees on the night? Yes No Do you have any food allergies or special dietary requirements? eg vegetarian, gluten free Please read and accept the NZSA Event Terms & Conditions*Please read and accept the NZSA Event Terms & Conditions I accept CAPTCHAThe NZSA operates from New Zealand.CommentsThis field is for validation purposes and should be left unchanged.