Enrolment Form

3 Day Understanding Leather Course 27 – 29 June 2018


At LASRA, Dairy Farm Road, Fitzherbert Science Centre, Palmerston North, NZ




Company name:                                                                                                    




Post code:                                                          




Contact person:                                                                                              


Phone number:                                                                                               


Email address:                                                                                                 


Invoice email address (if different to above):                                                                                      


Fees:                           Member $1250 (excl. GST) Non-Member $1575 (excl. GST)


Dietary Requirements:                                                                                                                                 




Email this form back to:    info@lasra.co.nz


An invoice will be issued (detailing the payment terms and options) upon receipt of completed form.


Cancellations: All cancellations must be made in writing to LASRA no later than 21 days prior to the course.  All cancellations after this date will be charged 50% of the course fee. No cancellations can be accepted within 10 days of the course and a full fee will be charged. A suitable alternative delegate can be nominated up to 2 days before the event. LASRA reserves the right to make alterations to the programme or speakers without prior notice.


I have read and agree to LASRA’s terms and conditions of booking




Name: ____________________________________         Signature   __________________