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Forum 2012 Membership and Registration
Forum 2012 Membership and Registration
Forum 2012 Membership and Registration
Services Society
Membership and Forum Registration 2012
Forum details
Venue: Bayview Wairakei, Taupo
Dates: Wednesday 2nd May: Social gathering, 5.30 - 7.30pm
Thursday 3rd May: Forum 8.00 - 4.30pm, Dinner 6.30pm till late
Friday 4th May: Forum 8.00 -1.30pm (including lunch)
Membership $75.00
Registration
$250.00 (Member)
Registration
Registration
Post to:
Pip Zammit
Oral Health Service Manager
Northland District Health
Board
Private Bag 9742
Whangarei 0148
Name: __________________________________________________
Address: ________________________________________________
________________________________________________________
________________________________________________________
Designation _____________________________________________
Organisation ____________________________________________
Phone: _________________________________________________
Cell phone: _____________________________________________
Email: _________________________________________________