Young Maori Leaders Conference 2007
Mr/Mrs/ Ms ______________________________________________________
Postal Address____________________________________________________
Phone______________________________ Fax_________________________
Sponsoring Organisation___________________________________________
Preferred Day ONE Afternoon  Workshop - 1 or 2  Please circle ONE
Registration fee: $795 + GST (total payment of $894-38) per person for two full day conference. 
Fee includes lunches, dinner, refreshments, conference documentation and choice of workshop.
Early Payment Discount:  Register and Pay Before 1 September 2007  this will be discounted to $695 + GST 
( total payment $781-88)
Please send with remittance. Tax Invoice will be receipted and returned to you. 
Our GST Registration Number is 72 063 732
Method of payment: Crossed cheque payable to The F.I.R.S.T Foundation, or
    Please invoice me at the above details, or Purchase Order No.________________
Cancellations and Transfers: If you are unable to attend, a replacement is welcome. Documentation and a 50% refund will be given for cancellations received in writing on week before the conference. Full refund less $100 administration fee for cancellations received at least two weeks prior to the conference. The F.I.R.S.T. Foundation reserves the right to make any amendments that they deem to be in the best interest of the conference.
Signature________________________  Date ______________________
Please Return This Form to
The F.I.R.S.T. Foundation, P.O.Box 1078, Shortland St, Auckland, New Zealand OR
Fax (09) 360 5167 or email YMLC2007@
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