Registration Form

I wish to register for the Money Go RoundSeminar, May 20th.

I understand the registration desk is open from 8.30am to pick up my name badge, receipt, and information, at Westlake Girls High School.

Last Name _____________________________________________

First Name _____________________________________________

Email _________________________________________________

Phone day ___________________________________ night _____________________________

[ ] my cheque for $20.00 is enclosed. Cheques can be made payable to: Money go Round

[ ] I wish to pay by credit card (Visa & Mastercard accepted)

Card type & number ________________________________________________

Expiry date ____________

Name on Card _________________________________

Signed _____________________________________

Post to: P.O.Box 00000 Takapuna (Money Go Round C/- Lynne)