2010 New Zealand Iris Convention Registration Form.

Y.M.C.A. Queen St. Masterton.

Friday12 November to Monday15^th November [Extra day Tuesday 16^th November]

Personal Information

Name ------------------------------------------------------ Name Tag Name-----------------------

Iris Group-------------------------------------------------- State/ Province-------------------------

Address---------------------------------------------------- Country / Postcode-------------------

City--------------------------------------------------------- E-mail-----------------------------------

Personal Participation

Main Conference Friday, Saturday, Sunday and Monday $ 200.00

Extra Day Tuesday $ 45.00

Judges School Workshop Sit judges Exam

Registration Fees Payment

Conference $_________ Cheque{ Payable to Wairarapa iris Group }

Extra Day $________

Direct Deposit 030687 0203612 00

Total $_________

Payment to be made by 30^th September 2010

Wairarapa Accommodation_________________________________

Date & time of Arrival_____________________________________

Please fill in and return with cheque, or e-mail and direct debit.