W PRIORITY REGISTRATION FORM

Please return this form to:

The F.I.R.S.T.Foundation, PO Box 1078, Auckland, New Zealand

or make a booking by phoning (09) 360 - 5166, faxing on (09) 360-5167

or email YPLC@firstfound.org

Please accept my/our registration for: YPLC 2006

24 & 25 October 2006

Banquet Hall,

Parliament Buildings

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^Mr/Mrs/Ms

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Signature:.................................... Date:....................

Please Invoice me at the details above

CONFERENCE REGISTRATION INFORMATION:

Registration fee: $595 + 12.5% GST (total payment of $669.38) per person

for full two-day conference. Fee includes lunches, dinner, refreshments & conference documentation

Please detach and return with remittance TAX INVOICE will be receipted and returned to you. GST Registration No. 72 063 732

Method of payment: Crossed cheque payable to The F.I.R.S.T. Foundation.

Cancellations and Transfers: If you are unable to attend, a replacement is welcome.

Documentation and 50% refund will be given for cancellations received in writing one week before the conference.

Full refund less $100 administration fee for cancellations received at least two weeks prior to 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.

Guarantee of Quality: The Foundation guarantees that your time and money will be well spent in attending its conferences programmes.

If you are not satisfied with this conference, The Foundation will be happy to credit the full registration fee towards another programme.

Financial Assistance: The F.I.R.S.T. Foundation may be able to assist with fee grants for persons who would otherwise be unable

to attend the conference. If you wish to be considered for financial assistance please request an application form from The F.I.R.S.T. Foundation