* Mandatory Fields
Early bird registrations close 29 February 2012.
* Non-NZPsS students need to post a photocopy of their current student ID to confirm their discounted registration rate.
Your registration will be confirmed on receipt of your completed form and payment. A confirmation letter / GST receipt / invoice will be sent to you via email within 7 days. If you have a registration query please contact: conference@psychology.org.nz or call 04 9141983
Cancellations before 1 April 2012, registration refunded less 20% administration fee. After 1 April 2012 no refund but a named substitute can be accepted.
The information supplied on this form will be used by the NZ Psychological Society. The Privacy Act requires, that before your name and email address can be published you must give your consent. Unless you advice us below, your name and email address will be included in the list of delegates for distribution to fellow delegates and the present exhibitors.