[Skip to Navigation]

The interface between monetary policy and macro modelling - Conference Registration Form

Registration closes Friday 17 February

Registrant Details

Title: Mr Ms Other:
First name:*
Surname:*
Business Title:
Organisation:*
Address line 1:
Address line 2:
City:
Country:
Postal Code:
Email address:*
International Phone Number:*
International Fax Number:
Dietary Requirements:
Name of Accompanying Person:

Contact details of a relative or friend in case of an emergency

Name:
Phone Number:

Attendance of functions

Official dinner on Monday 13 March *Yes No
Accompanying person will be present at the official dinner *Yes No
Optional free outing (details to be advised),
afternoon 15 March *		Yes No

Hotel Accommodation

We can book a room for you at preferential rates at The Bolton Hotel (Tel: +64 4 472 9966, Fax: +64 4 472 9955, Email: info@boltonhotel.co.nz, www.boltonhotel.co.nz)

Hotel booking required:Yes No
Dates of stay: From (check-in date):
To (check-out date):
Number of nights:
Smoking:Non-smoking Smoking
Room:Premier Studio (incl. small kitchenette) $180/night
One Bedroom Suite (separate shower/bath, lounge) $202.50/night

Additional comments/requirements

Comments:
Please print this form for your records before submitting

Note: You will need to fill in all the fields marked with an asterisk (*) to send this form