QAGTC Conference Registration Form

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REGISTRATION FORM / TAX INVOICE

Please register me for the 12th State Conference of the Queensland Association for Gifted & Talented Children Inc, on Friday 16th May to Sunday 18th May 2003 at Queensland University of Technology (QUT), Kelvin Grove Campus.

Name:

Name for badge:

Email:

Phone, Home:

Work:

Fax:

Mailing Address:

Town/suburb:

Postcode:

School Address:

Town/suburb:

Postcode:

Please tick. I wish to be notified of future events.

Full registration includes

all sessions and any session notes, including Friday evening,

Saturday Evening Convivium, Lunches and Morning tea/coffee.

Full Registration:
Part Registration:
Part Registration:
Additional convivium tickets for non-registrants: @ $11 each
Prices include 10% GST (QAGTC Inc. ABN: 46 866 103 154) Total amount

This document will be a tax invoice when you make payment. Please retain an original copy.
* for membership information, please see www.qagtc.org.au

Vegetarian lunch please. I would appreciate accommodation information.

Please pay by cheque to reduce administrative overhead, making the cheque payable to QAGTC Inc.

Mail to: QAGTC Inc, 282 Stafford Rd, Stafford, Qld 4053
(Payment with registration, by 4^th May, please. Late registration does not include lunch!)
Enquiries: phone 07 3352 4288 email: office@qagtc.org.au

after filling in, or download a printable version.

REGISTRATION FORM / TAX INVOICE
Please register me for the 12th State Conference of the Queensland Association for Gifted & Talented Children Inc, on Friday 16th May to Sunday 18th May 2003 at Queensland University of Technology (QUT), Kelvin Grove Campus.
Name:		Name for badge:
Email:
Phone, Home:	Work:		Fax:

Mailing Address:
Town/suburb:		Postcode:
School Address:
Town/suburb:		Postcode: