Conference of the Science Educators Association of the ACT Saturday 24 MARCH 2018 ANU Robertson building (#46) Registration Form and Tax Invoice PLEASE PRINT CLEARLY AND USE BLOCK LETTERS Name: School: Mobile Number: Email: TQI #: Dietary Requirements: Photos taken on the day may be used by SEAACT for our publications Check if you DO NOT and website. If you DO NOT give SEAACT consent to use your images grant consent for publicity purposes, please tick this box SEAACT Members and Non–members STANSW Members Full Day Conference $75.00 Incl. GST $100.00 Incl. GST (morning tea and lunch provided) Preservice and Early $35.00 Incl. GST $45.00 Incl. GST Career teachers Method of payment: Cheque (made payable to SEAACT: ABN 78 948 251 953) Mastercard Visa Bankcard Card number Cardholder name Expiry date Amount $ Cardholder signature Direct debit Bank Details: Commonwealth Bank of Australia BSB: 062 908 Account number: 0090 7189 Please quote CONSEAACT (your surname) Please RSVP before 17 March 2018 at
Conference of the Science Educators Association of the ACT Saturday 24 MARCH 2018 ANU Robertson building (#46) Registration Form and Tax Invoice PLEASE PRINT CLEARLY AND USE BLOCK LETTERS Name: School: Mobile Number: Email: TQI #: Dietary Requirements: Photos taken on the day may be used by SEAACT for our publications and website. If you DO NOT give SEAACT consent to use your images for publicity purposes, please tick this box Check if you DO NOT grant consent SEAACT Members and STANSW Members Non–members Full Day Conference (morning tea and lunch provided) Preservice and Early Career teachers $75.00 Incl. GST $35.00 Incl. GST $100.00 Incl. GST $45.00 Incl. GST Method of payment: Cheque (made payable to SEAACT: ABN 78 948 251 953) Mastercard Visa Bankcard Card number Cardholder name Expiry date Amount $ Cardholder signature Direct debit Bank Details: Commonwealth Bank of Australia BSB: 062 908 Account number: 0090 7189 Please quote CONSEAACT (your surname) Please RSVP before 17 March 2018 at
2018-CONSEAACT-Program-with-Registration-form.docx