NOVER STAR PARTNER CONFERENCE 2010
QUEENSTOWN, New Zealand
SATURDAY 21 – WEDNESDAY 25 AUGUST 2010
 

Browsers
It is highly recommended that you use Internet Explorer Version 4.0+ or Netscape Navigator Version 6.0+ for the page functions to work properly. Click the link to download the latest free version of Internet Explorer or Netscape Navigator.

Form Navigation
Please use the Tab key to move to the next field. All information should be typed in upper and lower case (eg William Smith). Required fields are marked with an asterisk *. On completion of the form, please press the Send button. Your information will be encrypted and securely forwarded to GO Conference & Incentive Management.
   
 
PROFILE & REGISTRATION
Please complete a separate form for each person travelling
Fields with an * are compulsory
 
TRAVELLER DETAILS
Surname (as per passport)*
Title (Mr/Mrs/Ms/Miss)*
First Names (as per passport)*
Preferred Name (for name badge)  
Company Name*
Street Address (for courier)*
Suburb City/Town*
PO Box City/Town 
Postcode
Phone - preferred daytime contact* (incl. Area Code) Fax (incl. Area Code)
Email Mobile
Accommodation Preferred Millennium Hotel
Shirt/Jacket Size
XS S M L XL XXL XXXL
   
Emergency Contact Details
Emergency Contact Name:
Phone:
Relationship:
 
REGISTRATION TYPE
Please select the appropriate Registration Type.
   
Registration Type*
Travelling With
If you are travelling with Partner/Family Member(s)/Colleague who you wish to share a room with, please enter their name above.
   
DOCUMENTATION  
Your Australian or New Zealand Passport must be valid on arrival in New Zealand. Passports for other Nationalities must be valid until at least 1 month beyond your stay
Passport Number*
Passport Expiry Date* (format: dd/mm/yyyy)
Passport Nationality* Australia Other
Date of Birth* (format: dd/mm/yyyy)
If you do not hold an Australian passport, do you have a current Australian re-entry visa?

   
AIRLINE/HOTEL DETAILS
 
Qantas Frequent Flyer Number Number:
Air New Zealand Frequent Flyer Number Number:
Pacific Blue Number:
Special membership e.g. Qantas Club/Koru/Gold/Silver
Special Meals (e.g. vegetarian/diabetic/vegan/gluten free)
Do you require Domestic Air?   From Airport To Airport
 
   
OPTIONAL ACTIVITIES (own expense)
Please indicate below which of the following optional activities you would like to enjoy and your preferred day:
Please refer to the website for details and costs
Bungy
Skippers Canyon Four Wheel Drive
Half Day Trip to Milford (Fly-Cruise-Fly)
Heli Skiing
Spa Treatment - Tranquility Massage
Spa Treatment - Deep Tissue Sports Massage
Spa Treatment - Aromatherapy Massage
Spa Treatment - One Hour Facial
Dart River Wilderness Safari
Rafting - Kawarau River Rafting
(river grade 2-3)
Rafting - Shotover Heli Rafting
(river grade 3-5)
Skidoo Safari
Arrowtown
Southern Hemisphere Proving Grounds
Shotover Jet
Champagne Helicopter Ride
 
ADDITIONAL REQUIREMENTS
 
Do you intend to extend your travel beyond the conference?
Will children be attending? (if yes, please complete a separate registration form)
Do you require travel insurance at discounted rate of NZ$54 pp for 6 days cover, extra days at NZ$8 pp per day?
Please make any additional comments in the text area below:
 
IF YOU HAVE ANY QUERIES PLEASE DO NOT HESITATE TO CONTACT US:
   
Christine Dietschin
GO Conference & Incentive Management
Phone 1800 028530
cdietschin@gogogo.co.nz
Office hours Monday to Friday 7am to 3pm 		 
   
Please print out this registration prior to submitting and keep it safe.
 


      HAVE YOU PRINTED A COPY OF YOUR REGISTRATION?