AFFILIATE MEMBERS REGISTRATION FORM - Pacific Power Association

This Registration Form must be completed and submitted online.

Affiliate Registration Form

REGISTRATION DETAILS

This Registration Form must be completed and submitted online. One delegate per Registration Form. The Accommodation and Travel Form (insert link) with confirmed travel dates must also be completed and submitted online as airport transfers will be provided upon your arrival and departure from Tonga.

Mr / Mrs / Ms Surname:(required)

Given Name(s):(required)

Position:(required)

Citizenship:(required)

Organization:(required)

Organization Address:(required)

City:(required)

State:(required)

Post Code:(required)

Country:(required)

Business Telephone:(required)

Fax:

Email address(required)

Preferred name for badge:(required)

CONFERENCE SHIRTS

Blouse Size:(required)

(please mark blouse sizes are: 6,8,10,12,14,16,18,20,22,24,26,28,30,32,34,36,38,40,42,44,46,48,50 in box provided)

Shirt Size:(required)

(please mark shirt sizes are: S, M, L, 1XL, 2XL, 3XL, 4XL in box provided)

Affiliate Member Registration(required)

Registration $400

US$

PAYMENT DETAILS: Payment by Credit Card or Telegraphic Transfer only

Payment by Telegraphic Transfer Please transfer funds in US Dollars to Pacific Power Association’s Bank Account as follows: Account Number: 000159371130 Bank: Bred Bank, BSB Number: 119 010 (Swift code: BREDFJFJ), MHCC, Suva, Fiji, Bred Bank Tel: (679) 3310 888

IMPORTANT REMINDER:

1. No checks (cheques) are accepted. 2. Telegraphic Transfer must be sent directly to the PPA Bank - Bred Bank Fiji Pte Limited (BSB 119-010), Suva. Delegates are responsible for paying all applicable bank fees at the country of origin so that the net amount is deposited into the PPA account. Failing this, PPA will seek payment for the balance of the funds deducted. 3. Credit Card payments are accepted

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