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    Whangarei Alumni and Friends Reception - 2 March 2012

     

    Your details

    Student ID:
    First name: *
    Family name: *
    Date of birth:
    Preferred Email: *
    Postal address:

     
    Standard tickets (NZD25): *
    UoA alumni under 35 years of age (NZD15): *
     0 NZD

    For your nametag:
    Name as it should appear on nametag: *
    Job title: *
    Company: *
    Please specify if you or your guest have any special dietary requirements.
     
    I have a mobility parking sticker and require mobility parking.
    How did you hear about this event?
     

    Your guests

    Full Name:
    Date of Birth:
    Email:
    UoA graduate:
    Guest Student ID(if known)
    For your guest's name tag:
    Name as it should appear on nametag:
    Job title:
    Company:
     








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