Register Now Full Name* First Last Organisation* Email* Enter Email Confirm Email Contact Number*Second Point of Contact Secondary contacts name and email address (e.g. P.A / fundraising support person) Sign Me Up Today!* I’m keen to join in the Graeme Dingle Foundation Drop Your Boss 2023 and fundraise to help make Aotearoa the best place in the world to be young! Registration Fee* I understand the registration fee is $100 to participate and I will be invoiced for this amount to confirm my registration. Photo Package I would like to purchase the photo and video package of my drop for an additional $50. Sign me up for your newsletter Yes Δ Contact For any questions or further information, please contact Monique Sanna below. Monique Sanna m. 022 199 3560 e. monique.sanna@dinglefoundation.org.nz