Hire Application - Massey Student

Form for Massey student hire - Payments by credit card only

Student ID:
Family name:
First names:
Contact
Address line 1:
Address line 2:
City + Postcode:
Daytime Phone:
Mobile Phone:
Email:
Ceremony:	Massey Palmerston North, May Graduation Massey Palmerston North, November Graduation Massey Wellington, May Graduation Other (Specify in Instructions box below)
Please select the type of award you will receive: Degree Diploma Certificate
Special instructions: Use the area below to tell us any special instructions or problems you had with this form.