Event Feedback Form

We would appreciate your feedback about the
New Zealand Health Industry Awards and Benefit Gala Dinner 2008

Your feedback will be taken seriously for the 2010 awards evening
Thank You

* Compulsory Field that needs to be filled in

First Name: *
Last Name: *
Email Address: *
Venue:
Catering:
Entertainment:
Charity Auction:
MC:
Additional Feedback or
Overall Comments about the evening: *
Suggestions or ideas for the 2010 awards evening: *
Will you be attending the 2010 New Zealand Health Industry Awards and Benefit Gala Dinner? * Yes
No
Would you like to join the email list to receive information about the 2010 event? * Yes Please
No Thank You