International Plant Propagators' Society - New Zealand Region

FIELD TRIP - REGISTRATION FORM

Lower Northland -Warkworth - Saturday 19 Feb 2005

Names ______________________________________
  ______________________________________
  ______________________________________

Organisation

______________________________________

Postal Address

______________________________________
  ______________________________________
Phone Number ______________________________________
Email ______________________________________
  ______________________________________
Registration Fee $45.00 - enclosed?   Yes / No
fee includes bus, morning tea, lunch, afternoon tea, wine tasting

Help Please

Do you have any special dietary requirements?
If yes, please state

______________________________________

Do you require transport from Auckland to Warkworth and return? ______________________________________
Can you provide transport from Auckland to Warkworth and return?
______________________________________

Registrations Close Saturday 5 February 2005

Send completed registrations to
Brain Frost
Phone
Fax
Post
Email

09 299 9085 (a/h) or 09 294 8771 (bus),

09 299 9084 or 09 294 8774

242E Settlement Road, Papakura, Auckland

jenny@rainbowpark.co.nz