ASSOCIATION OF KINDRED CLUBS OF NZ INC.
(SAVAGE & ORPHANS CLUBS)
43rd Biennial Conference, Blenheim
19th,
20th, 21st June 2020
Hosted by: Blenheim Orphans Club
Venue: Marlborough Girls College Hall
McLauchlan Street,
Blenheim.
REGISTRATION FORM
CLUB__________________________________________________________
MEMBERS
SURNAME_____________ FIRST NAME_______KNOWN AS _________
PARTNERS SURNAME_____________ FIRST NAME_______KNOWN AS_________
ADDRESS___________________________________________AREA
CODE_______
PHONE________________________ MOBILE________________________
EMAIL _______________________________________________________
If either hold club or council office, What is your title?_______________________
Indication of travel & Accommodation made_______________________________
CONFERENCE REGISTRATION FEE $100 per person
Or $90 if paid before 17th
April 2020
All payments to be made to Blenheim Orphans Club Conference A/C.
For direct credit payment ASB Bank 1231670065504 – 02
If
paying online use your first & last name as a reference. Ref:____________
If paying by cheque please send it with this form.
Final closing date 15th
May 2020
Postal Address: Leon Broadbridge, PO Box 4011, BLENHEIM 7240
Email: varley.broadbridge@gmail.com
Ph. 03 5776695