Name

Address

Telephone No.

E-mail:
Accommodation:
I will be staying / not staying at The Garden Hotel.
Number…….

I will be attending the Sat. evening dinner
Number…….

I am interested in the Akaroa Coach trip
Number……

Please return this slip to:
Derrick Hubbard,
4 Grebe Pl,
Wigram,
Christchurch
or email vedek@xtra.co.nz or Tel/Fax (03) 344-5876