First Name
Last Name
• Email *
• Which event are you attending? *
  Which event are you attending? Martinborough - 5th March Lepperton - 6th March Tokoroa - 10th March Te Aroha - 12th March Oxford - 17th March Waimate - 18th March Balfour - 19th March Otautau - 20th March
• PT Code *
Number of people attending - including yourself *
Names of other people attending:
• I agree to further contact from CRV in the future *
  YES NO

Submit