COMPANY+REGISTRATION


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**YES COMPANY REGISTRATION FORM** **// (must be submitted by 30 March 2009) //** Return to Fleur McKean, Programme Manager, Lion Foundation Young Enterprise Scheme, Young Enterprise Trust, 66-70 Bloomfield Terrace, P O Box 31545 LOWER HUTT Tel: 04 570 0452 Fax: 04 570 0453 Email: fleur.mckean@enzt.co.nz  Web site:www.enzt.co.nz  || Year level: Year 11  **YES** Year 12  **YES** Year 13  **YES** Assessment: Is the YE Team participating in The YE Certificate (course completion and exam)  **NO** Course Completion only  **YES** || ||
 * Name of Young Enterprise Company **(//NB// __NOT__ LIMITED) //Itchy & Scratchy//**
 * Name of School **//Broadwood Area School//** ||
 * Address of School **// Main Rd PO Box 12 Broadwood Kaitaia //** ||
 * School phone - **//09 409 5878//** |||| School fax **//09 4095877//** ||
 * Name of YES Teacher: **Carolyn Bennett** |||| Email Address: **Carolyn@farnet.schoolzone.net.nz** || Home Phone **09 4077206** ||
 * ü Have you taught YES before **YES**  ||
 * Name of YE Certificate accredited teacher at your school: Carolyn Bennett ||
 * Is YE run: In a Business studies Class  In a Technology Class  Other subject class  Extracurricular  **YES**
 * Our business is for the following PRODUCT/SERVICE: **//Itchy & Scratchy is a product which provides a natural treatment for the control of headlice in school students.//**
 * Mentor Company name (if known) **TBC** ||
 * Contact Name: ||
 * Postal Address : (//Please add correct address to make sure mentors receive information.//) ||
 * Tel: Fax: Email: ||

. Phoebe Hepana (Managing Director), Pahu Hepana (Marketing and Sales Director), Jenny Samson (Production Director), Taylor Cook (Finance Director), Forrest Butler (Communications Director), Carolyn Bennett (Teacher Mentor) **TEAM details to be completed by the teacher. (Formal name as registered with school)** ** (as per school Roll) ** || ** Surname ** ** (as per school Roll) ** || ** Gender ** || Phoebe || Hepana || Female || 22/06/1993 || Maori || || Taylor || Cook || Female || 28/9/1994 || Maori || || Pahu || Hepana || Female || 10/5/1994 || Maori || || Jenny || Samson || Female || 6/08/1993 || Maori || || Pahu || Hepana || Female || 10/5/1994 || Maori || || Phoebe@broadwood.school.nz || ** 6 Haekaro Lane, Coopers Beach ** || ** 09 4061482 ** || ** 02102919728 ** || || ** Pukewhai Road, RD, Kaitaia ** || ** 09 4087388 ** || || On receipt of this completed form, Young Enterprise Trust will send your **YES Companys’** Certificate of Registration,along with the forms required to open your ASB bank account. The fees are $50 per company and $15 per student. The invoice will be sent to the teacher at the school. To be eligible to participate in the YES regional and national competitions, the Registration form and Payment of all Company and directors fees must be completed by the 22nd May 2009.
 * ** Position Held ** || ** First Name **
 * M/F **
 * Male/Female ** || ** DOB **
 * Date of Birth **
 * Eg: 14/08/1990 ** || ** * **** Ethnicity **
 * eg: Maori, NZ/European, **
 * Pacific Islander, Asian, other? ** ||
 * Managing Dir.
 * Communications Dir || Forrest || Butler || Female || 21/11/1994 || Maori ||
 * Finance Dir.
 * Marketing Dir.
 * Production Dir.
 * Sales Dir.
 * Additional Information for these two directorships: **
 * ** Position Held ** || ** Email **  || ** Home Address **  || ** Home Phone ** || ** Cell Phone ** ||
 * Managing Dir.
 * Communications Dir || Forrest@broadwood.school.nz
 * //Please make sure all information is entered clearly and correctly. Thank you//**
 * //NOTE://**