CPFBA 2026 Conference & AGM Registration
Lyttelton Fire Station - 57 London Street, Lyttelton
12 September 2026 - 1130-1600 (Registration from 1000)
Name
*
First Name
Last Name
Brigade / Organisation
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Phone Number
*
-
Prefix
Phone Number
Attending as:
*
Delegate
Observer
Past President
Life Member
Presenter
Executive
Challenge Panel
Any Dietary requirements for yourself?
Will you being attending with a partner?
*
No
Yes
Partners Name
*
First Name
Last Name
Partners Mobile
*
-
Prefix
Phone Number
Any Dietary requirements for your partner??
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Payment
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Conference Registration including brunch (1 x delegate can claim this back)
$35.00 NZD
$
35.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Partners trip including entry to activity and lunch - pay on day (further details to follow)
Free
$
Free
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Conference Dinner (1 x delegate can claim this back)
$40.00 NZD
$
40.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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Expiration Month
Expiration Year
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