Registration Form
Gifted Children in the Classroom – Making a Difference
Please print, complete and post to Thinking
Ahead (ABN 50 017 429 348) 3/37 Preston St Como 6152
or fax to 9474 3462
Registration Details Registrations close May 25.
Delegate Name
Delegate Name
School or Institution
Address: Postcode:
Delegates Email:
Contact Phone Number:
I wish to register for
o Please keep me informed about other Gifted Education opportunities
Amount to pay
$________________Method of payment
Card Number
___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___
Expiry date __/__ Name on Card____________________________
Signature _______________________________________________
Please note: If you pay by Credit Card your statement will show
CRAMER AND NEILL, GERALDTON
as the vendor.
o
Please invoice my school official Order number must be suppliedOrder # _________
Accounts Fax number: ___________________________
Attention: _____________________________________
Post your registration to Thinking Ahead
3/37 Preston St Como WA 6152
Registration includes lunch and morning and afternoon tea
Cancellation Policy
Places for this event are limited. Payment
secures your registration. Conference participants who cancel their
booking on or prior to May 15 2005 will receive a full refund less a $25
administration fee. The cancellation must be received in writing.
Cancellations after this date will not be eligible for a refund although
registration may be transferred to another person.