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REGISTRATION FEES

Please fill and return by email to hfactor2016@gmail.com


Alternatively print and send to: NGAWATI HEREWINI TIPENE REUNION
6 Alamein Rd
PANMURE
AUCKLAND
Or go online: http://hfactor2016.wix.com/ngawatireunion
_______________________________________________________________________________________________

Name: _________________________

Tupuna# _______________________

*Your Name (Joe Herewini) and the Corresponding Tupuna number e.g. (004. Rapine Herewini)
Please use the above, Your Name, Tupuna#, as your reference when banking into the account.

1. MERU HEREWINI
4. RAPINE HEREWINI
7. AMOHIA MAAKA
10.MERE RAHARAHA

2. MAC HEREWINI
5. WAITAI HEREWINI
8. HENARE HEREWINI
11.EREHI TE MONI

3. MORGAN HEREWINI
6. MOREHU HEREWINI
9. MATEARA HEREWINI
12.IHAKA HEREWINI

Preferred point of contact:


Email __________________________
Phone _________________________

COST

WHO

HOW MANY

$100.00
$50.00
$10.00
FREE
COMPLIMENTARY

ADULT 18yrs-64yrs
CHILD 5yrs-17yrs
TODDLER 1yr-4yrs
INFANT up to 1yrs
KAUMATUA 65+yrs

TOTAL

BALANCE
Payment due preferably 30th November 2015
Registration fees cover accommodation, food and activities over four days and three nights.
13.MERU HEREWINI
16.RAPINE HEREWINI
19.AMOHIA MAAKA
22.MERE RAHARAHA

1. 14.MAC HEREWINI
17.WAITAI HEREWINI
20.HENARE HEREWINI
23.EREHI TE MONI

BANK DETAILS:
KIWI BANK

15.MORGAN HEREWINI
2. 18.MOREHU HEREWINI
21.MATEARA HEREWINI
24.IHAKA HEREWINI

Name: NGAWATI HEREWINI TIPENE


Account: 38-9001-0472596-04
Reference - JOE BLOGGS 004

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