CLIMATE CHANGE WORKSHOP - Rotorua 29 June 2018
 
 
 
Contact Details:
 
 
 
 
First Name*
 
 
Last Name*
 
 
Supply Number*
 
 
Email Address*
 
 
Mobile phone
 
 
Role on farm*
 
 
 
   
If more than one person is attending, please enter their details below. 
First name
 
 
Last name
 
 
Role (please choose)
 
 
First Name
 
 
Last name
 
 
Role (please choose)
 
 
 
 
 
Comments and/or dietary requirements: