Mail to: The appropriate Commissioner or
to
Kiwipex 2006, PO
Box 18 914, Christchurch, NZ. |
First name: |
Surname: |
Email:
……………………………………
Phone (home):
............................................
Phone (work):
...........................................
Fax: |
Address:
…….……………………………………………..
……………………………………………………………………
…………………………………………………………………… |
Title of Entry:
.............................................................................................................. |
Brief description (50 words or less):
…………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………… |
Class |
No of frames |
Date of birth (youth only) |
| Class 7d entries only ( ) tick box:
( ) I am bringing my own display cabinet –
dimensions: width ……. height …….. depth …… (in metres)
(
) I require a display cabinet – dimensions:
width ……. height …….. depth …… (in metres) |
| Awards received in
previous exhibitions: (tick box if you have not previously entered a national philatelic
exhibition: ( )
1) year exhibition country
2) year exhibition country
3) year exhibition country
4) year exhibition country |
| ( ) tick box if a Kiwipex 2006 supporting member
|
List NZPF/APF/FIAP society to which you belong:
|
Method of exhibit delivery to Kiwipex 2006
( ) tick box
– personal delivery by 10 am 1 Nov 2006
( ) tick box – delivery via commissioner
( ) tick box – delivery via mail
( ) tick box – delivery via courier
( ) tick box – delivery via |
Method of exhibit return after Kiwipex 2006
( ) tick box – personal collection from bin room
( ) tick box – return via commissioner
( ) tick box – return via mail
( ) tick box – return via courier
( ) tick box – return via |
Any special instructions ( e.g. includes 4
double pages)
|
Entry fees: (* = optional)
………….……. frames @ NZ$25.00 each
return postage/courier fee $20.00
Kiwipex 2006 supporting membership*
donation*
NZPF official rules/regulations for ____________ ___________
Class are available @ $5.00 per copy postpaid*
Total |
NZ$
$…..….
$………
$…..….
$..........
$.......... |
| ( ) tick box: I authorise Kiwipex 2006 to charge my credit card
type:( ) visa ( ) mastercard
# …………………………………………..……..
ex …../…..
Name on
credit card ...........................................
Signature …………………………………………………………
__________________________________________
Click here for synopsis
information sheet |
( ) tick box – I enclose my cheque for the above |
This exhibit is my property. I have read and accept
the rules pertaining to Kiwipex 2006 and agree to my philatelic information being stored
on the NZPF/APF database.
Exhibitor’s
Signature…………………………………………
Date…………………………….
|
The exhibit is my property and I have read and
accept the rules pertaining to Kiwipex 2006.
Exhibitor’s
Signature…………………………………………
Date……………………………. |
|