Kiwipex 2006 entry form – all applications close 31 May 2006

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…………………………….

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