RSBS: Registration Online Registration Form One Form for each Course for each person. If you are a human and are seeing this field, please leave it blank. Workshop * Select Workshop. Design Barrier Workshop: Auckland 25-27 Sep 18 ($977.50) IMI Workshop: Hamilton 6-8 Nov 18 ($862.50) Purchase Order # Title * MrMsDr First Name * Last Name * Organisation * PO Box/Street * Suburb City * Post Code * Phone * Email * Total to Pay Payment Method * Direct CreditChequeCredit CardInvoice GST No: 89-364-086. All amounts are GST inclusive. Bank A/C: 02-0772-0061620-00. IMPORTANT: If payment by direct credit - Please use Workshop Title/Last name and first initial /Organisation (E.g. IMI/Smith W/Black Consultants/). Details for credit card payments will be included with Invoice which will be sent with confirmation. Accommodation required at the venue? YesNo Accommodation is your responsibility. Details included on Confirmation Letter. Arrival Date Departure Date Special Needs Dietary, mobility etc. Please specify. Please check that the registration form includes all the requirements that your internal system require for the correct processing of an invoice through your system. Eg Correct Legal name of your Company as required by IRD, Purchase Order Numbers, Project Numbers, Task Numbers. Internal Code Numbers , etc ... as required by your Finance System. Any other internal information required to expedite the payment of this invoice. We can only enter the information supplied by the registration form. If there is not a space on this form PLEASE enter the additional data required in the Purchase Order Number Box or the Comments Panel. Comments What is thirteen minus 6? * Please answer this simple anti-spam question.