National Peace Workshops Programme

National Peace Workshops 2003
Registration form


Registration fee: Friday - no cost; both Saturday and Sunday - $10 low waged / $20 waged; daily rate for either day $5 / $10. Lunch on Saturday is an additional $10 per person; if you wish to order Saturday lunch you need to register before 5 May.

The registration fee has been set as low as possible to ensure that no-one is prevented from attending because of the cost. If you are in a position to also include a donation to help with expenses, that would be greatly appreciated.


Name : _____________________________________________

Address : ___________________________________________

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___________________________________________________

___________________________________________________

Tel : ______________________ Email :

[   ]   I will be at NPW 2003 on Friday / Saturday / Sunday / all of these (please circle those which apply);

[   ]   I would like a billet for Friday night / Saturday night. (If you have any special needs which need to be taken into account when allocating a billet for you, please write below what would be helpful to meet those needs)


[   ]   I would like child care for ______ child/ren. (Please list the age of the child/ren in the space below)


[   ]   I would like a Baker Boys boxed lunch on Saturday - omnivorous / vegetarian / vegan (please circle one);

[   ]   I include a cheque (made payable to Peace Movement Aotearoa) for:

  • Registration fee - $

  • Saturday lunch ($10) - $

  • Donation - $

  • Total enclosed - $

Please post this form with your cheque as soon as possible to: PMA, PO Box 9314, Wellington.