New Customer Registration Form

The Lift to Literacy Competency with Dr Pam Kastner, 2022. Registration form.
Full Name*

First NameLast Name
School/Place of work*

Address

SuburbCity/Town

Postal CodeCountry
Workshop you wish to attend.
Phone Number*

Area CodePhone Number
E-mail
How did you hear about us?*
Other*
Do you have any dietary requirements?
Anything else we should know?
I wish to book;

Late fee (pay before workshop date) NZD$175Tertiary Student fee (Book and pay before workshop NZD$100)
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The Lift to Literacy Competency with Dr Pam Kastner, 2022. Registration form.