BA5 EVENT REGISTRATION FORM

hosted by

The SC Chamber of Commerce,

Timaru Girls High School,

Wednesday 8 February, 2012 - 5:30pm - 7pm

To be held at: The Timaru Girls High School Technology Block. Entrance off Cain Street or Hassall Street. Students will be at entrances to direct you.

Please complete the form below.

BA5 Registration Template
You must enter your Company Name and a Contact Email for the form to be accepted.
Company Name *:
Contact Email *:
*compulsory field, must have a value
Please provide the Name you would like to appear on your badge (include Company Name if different from above).
If you have more than 6 attendees please submit another form with the additional names.
Attendee 1 - Full Name:
Attendee 2 - Full Name:
Attendee 3 - Full Name:
Attendee 4 - Full Name:
Attendee 5 - Full Name:
Attendee 6 - Full Name:
Before you click submit, Please ensure all compulsory fields have a value. All data will be lost if you have not entered all the required information and you will have to fill out the form again