Register for the NZSA2009 Conference,
Victoria University of Wellington
Fields denoted * must be filled
Tax Invoice/Receipt
New Zealand Statistical Association (Conference Division)
GST: 92 640 744

Personal Details:

Title:

Surname or Family Name:*

First or Given Name:*

Address:*
 
 

Country:

Phone:*

Fax:

Email:*

New Zealand Student:
Dietary and any other special needs:
Registration:
Registration fees for the NZSA Conference (2-3 September) are (a) $120 for NZSA and SSAI members, $60 for students, and $200 for others before 14 August 2009 and (b) $150 for members, $75 for students, and $230 for others after 14 August 2009. There is a $80 surcharge for non–members, which gives NZSA membership for one year.
Registration fees for the Semiparametric Regression workshop (1 September) are (a) $30 for students and $60 for all non-students before 14 August 2009 and (b) $35 for students and $70 for all non-students after 14 August 2009.
Local teachers may attend the Education sessions at no charge, or additionally have Thursday lunch at the conference for $15.  In either case, please register below.

Conference & Education Sessions Registration:  

Workshop Registration:  

If you are attending the Education sessions only, please enter the name of your school:

Privacy Declaration: I give consent for my name to appear on the participant list

Option / Number attending

Cost

Conference Registration

(automatic)

Workshop Registration

(automatic)

Conference Dinner ($60)

Total

 
Payment Details:
Payment by cheque: Make cheque out to "NZSA"

Payment by Direct Credit to NZSA
Account Number 02 0500 0019525 00:

Please ensure that your name will appear on our bank statement
(e.g., NZSA Conference, Mary Smith, Dunedin).
Payment by Mastercard or Visa:

The NZSA Email address and Website are not secured sites so confidentiality of credit card email transmission cannot be guaranteed.
If paying by credit card, please submit electronic form without credit card details and supply full information on a hard copy

 Credit Card number
 Cardholder's name
 Expiry date
  Amount: $NZ
  Signature:  
     
Date:
 
Send this form using the Submit button
and print and post with cheque made out to "NZSA"
or with credit card details to
Harold Henderson, Statistics, AgResearch, Ruakura,
Private Bag 3123, Hamilton 3240, New Zealand.
Phone Harold using a local AgResearch number and ask for extension 5151 or by
DDI Phone: +64 7 838-5151; Fax: +64 7 838-5012

For registration enquiries contact Harold Henderson.
For general conference enquiries contact John Haywood.
Print or save a copy of the (yellow) submission page for your records (if required).