New Zealand Institute of Highway Technology
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Home > Registration Form
 
 REGISTRATION FORM
Your Course Registration & Booking

This is the quickest and easiest way to register for your course with NZIHT.

If you would prefer to send your application by post or fax, please click here to print this registration form with postal and fax information.

Please Note - The NZIHT reserves the right to alter course dates and postpone or cancel courses in unforeseen circumstances, or where registration numbers are insufficient.

 * indicates a required field.
 

Course:

 *

Location:

 *

Date:

 *

 

Attendee #1

Name:

 *

Attendee #2

Name:

Attendee #3

Name:

Attendee #4

Name:

Attendee #5

Name:

 

Number Attending:

 

Company Name:

 *

 

Company Postal Address:

Town / City:

 *



 *

Postcode:

 * Find your postcode

 

Contact Person:

 *
All correspondence will be forwarded to the contact
person ie: confirmation letters, emails, certificates
and invoicing

Email for Contact Person:

 *

Phone for Contact Person:

 *

Fax for Contact Person:

 *
Note: Confirmation letters will be faxed out (at the
latest) one week prior to the course date.

 

 

Payment:


   *

All Cheques to be made payable to NZ Institute of Highway Technology Ltd.

 

Order Number:


If your company uses order numbers, we will quote
this number on our invoice