Name: .................................................................................................................... address: ....................................................................................................... Phone: ............................................. Mob: ............................................................ Please tick your choice below Whole Day Morning or Afternoon Session (includes lunch and morning and (includes morning or afternoon tea afternoon tea): only): $75 member morning afternoon $100 non-member $35 member $40 student/concession member $50 non-member $70 student/concession $20 student/concession member $35 student/concession $25 U/18 $10 U/18 Payment Method Cheque/money order (please enclose and return with registration form) Direct debit (please include your name followed by on the transaction) “PD” Account Name: ACT Keyboard Association BSB: 062-914 Account No: 10948745 Please return your registration by the March 30 to: ACT Keyboard Association, PO Box 225, Erindale Centre ACT 2903 or by email to
Name: .................................................................................................................... address: ....................................................................................................... Phone: ............................................. Mob: ............................................................ Please tick your choice below Whole Day (includes lunch and morning and afternoon tea): $75 member $100 non-member $40 student/concession member $70 student/concession $25 U/18 Morning or Afternoon Session (includes morning or afternoon tea only): morning afternoon $35 member $50 non-member $20 student/concession member $35 student/concession $10 U/18 Payment Method Cheque/money order (please enclose and return with registration form) Direct debit (please include your name followed by “PD” on the transaction) Account Name: ACT Keyboard Association BSB: 062-914 Account No: 10948745 Please return your registration by the March 30 to: ACT Keyboard Association, PO Box 225, Erindale Centre ACT 2903 or by email to
Jeanell-Carrigan-flyer-2018.docx