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Seminar Series Registration Form

Estar eRetail Seminar Series - Event 3 - 30 September 2008 : Registration Form

(NB: A * beside a question indicates it is a required field. You will not be able to proceed until all these questions are filled.)

(1):	Attendee name/s *

(2):	Position

(3):	Company Name *

(4):	Company Address *

(5):	Phone Number *

(6):	Email Address (for confirmation and further details)

(7):	Cost to be invoiced to you: *
	NZRA member $80 + gst
	Marketing Association member $90 + gst
	Non-member $110 + gst

(8):	Please provide your NZRA or Marketing Association Membership Number

(9):	How did you hear about this event?
	email from NZRA
	email from other
	NZRetail magazine
	Colleague
	Sponsor

(10):	To enable us to prepare for break-out and round-table sessions, is your business: *
	Currently online
	Ready to go online
	Still at the early stages of developing an online strategy

(11):	Would you best describe your business as:
	Small independent retail operator
	Regional/National retail chain store
	Supplier to the retail industry