Registration by Post/Fax
To get your registration code by mail/fax first print this page, complete details and send to:

Environmental Outcomes Ltd

PO Box 382

Motueka

New Zealand

Fax to:

+64 352 89751

 

Please PRINT Clearly

 

First Name   

Second Name

  

 

Your Postal Address (Please include postcode/zipcode):

Your Contact Details:

Email Address    Phone/Fax Number  

 

Your Order Details:

 Quantity Total Price

Price per Programme (On-Line): 

New Zealand Dollars ($NZD)

 $25
Total Cost of Order (NZD):

   Note: New Zealand Taxes included but local taxes in overseas countries not included.

Method of Payment (If posting enclose either Crossed Cheque or Money Order only).

Credit Card:      MasterCard *         Visa  *     (tick one) R
Card Number

 _  _  _  _ / _  _  _  _ / _  _  _  _ / _  _  _  _ 

 Expiry Date  
eg 11/08		  
Name on Card  

Footnote:

Your order will be dispatched to you within 24 hours of receipt which we will acknowledge by email (if you provided one) and we provide you with a hardcopy tax invoice/receipt with your order.

Remember you can return the programme any time up to 30 days after receipt and get a full refund.