Wool Statistical Handbook 2003-2004

Registration Form

 

This form records your details as a registered user for the Tectra Statistical Handbook 2003 - 2004.

If you have any problems completing this form please call 0800 496 657 or email lara.russell@tectra.co.nz.

 

Business or trading name
Contact name
Postal address 1
Postal address 2
Postal address 3
Postal address 4
Telephone number
Fax number
Mobile number
Email address
Login (user name)
 
 
 
 
 
 
 
 
 
 
 
eg: E H Ford Limited
eg: Edward Ford
eg: Whitestream Station
eg: Boundary Road
eg:  R D 2
eg: Akaroa 8002
eg: 03 333 0000
eg: 03 333 0001
eg: 025 222 0000
eg: forde@xtra.co.nz
4-10 characters starting with alpha e.g. ford22

 

 

Please only complete above if your details have changed when renewing your subscription

 

Payment:

Creditcard type
Creditcard number
Creditcard name
Creditcard expiry
  extra printed copies ($30+gst)
Amount ($130+printed+gst)
  Visa [   ]     Mastercard [   ]
 
 
 
 
 
 
eg: 4444 3333 2222 1111
eg: E H Ford
eg: 02/03
eg: 2
eg: $213.75

 

If paying by cheque please post to:                   Tectra

                                                                        P O Box 66, LINCOLN UNIVERSITY

                                                                        Attention:  Lara Russell

 

(c) Copyright 2003. The copyright to this publication is owned by Tectra Limited. It may not be copied, or republished in any form whatsoever, or stored electronically, without the written permission of the copyright owner.

 

I hereby verify that I have read and understood the copyright terms as above.

                                               

Signature:  __________________________________________ Date ______________________________

 

Print Name: ____________________________________________________________________________