Viking Roofspec Quiz Series Registration

**Please note; Christchurch and Queenstown events are FULL

Event Location *

Wellington - Oct 21st
Whangarei - Nov 4th
Auckland - Nov 5th

First Name *

Last Name *

Company Name *

City/Region *

Contact Email *

Contact Phone *

Profession *

Would you like to create your own team, or be allocated one? *

Create own team
Allocate me one please

If creating your own team, please provide contact details for all members (MAX 8):

Any dietary requirements?

Additional comments