Registration Form

Culturally and Linguistically Diverse (CALD) Training - Wellington 28 & 29 October 2015

First and Last Name

Email Address

Employer

Address

Work phone number

Mobile number

Postal Address

Your Position or Title

Your Role (please include the extent of your involvement with those from a refugee/migrant background in your role)

Do you require a tax invoice?
Yes No 

Please pay the $200 registration fee by, direct credit or cheque:

Cheque: Post to PO Box 11469 Wellington 6142
Direct Credit: Ring 04 805 0363 for account details

To register, this form must be sent by 16 October 2015

Phone 04 805 0363 or 04 805 0350 if you require more information

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