First Name  ***

Last Name  ***

Mailing address 1

Mailing address 2

State or area        Post or Zip code

Country 

Email  ***

*** Required fields (at least - more is better :-)

Best Phone number/s 

How many to attend? 

Names of other guests with you (please include spouse/partner name if relevant and childrens names and ages) 

Any Special Dietary requirements? No Thanks Vegetarian Gluten Free

Which families do you represent?

We produced an address book for attendees at previous reunions and inend to do the same this time.
If you would prefer us not to publish your information above - Please tick this box
but we will never disclose your info to 3rd parties..

South Island - 6th through 8th March 2013

Please skip to 'Any other comments' below if you do not intend to join us in the South Island. And please contact Lola at lolandtony@xtra.co.nz if you want to give the North Island reunion a miss - but you will miss out on the main event and much of the genealogical information!

Accommodation in Motueka (Organised by Committee). Check in Wed 6th March check out Fri 8th March.

YES! I/We would like to attend Tick here

Numbers attending (including Children)

Mobile phone number

Would you prefer...

 Your own Rental Car (tour sites in a convoy)
Or - Via mini-bus or coach (shared costs - depends on numbers attending)
Please be sure to select your preferred option above!

Any Other comments 

Everything O.K?  please submit the form by pressing the Submit button below - then you will be taken to the payment section!