Online Registration

If you would like to confirm your registration for the Eye Institute Education Series 2010 please fill in the online registration form below. * Mandatory fields.
Optometrist’s Name *
    Practice Name *
NZAO No.
    Board No.
Address     Phone *
      Email *
      Fax
Please select which seminars / conference you would like to attend.  

To contact us phone 09 522 5775 or email to conference@eyeinstitute.co.nz