jigsaw pieces2010 Forum Registration

Download a registration form (PDF 750KB)

See session details

Your details

All fields are required

First name

Surname

  

Organisation

    

Postal Address

Town

Postcode

Phone (08)

    

Email

   

Program options

Choose one option for your day's program

 

morning

The Art of Sound

 

afternoon

Ten Tips After 30 years

 

    

morning

Ten Tips After 30 years

 

afternoon

The Art of Sound

 

    

morning

MYLO (part 1)

 

afternoon

MYLO (part 2)

 

    

Numbers are limited. Your registration is not complete until both form and payment have been received

 

Please enclose registration payment

WAALC Members  FREE* (*2009 members need to re-new their membership for 2010)

Non–Members $65 (Includes free WAALC membership)

 

Venue

Herb Graham Recreation Centre, Centacare Employment and Training, 17 Chesterfield Road, Mirrabooka WA

 

Payment

Please indicate method of payment

Cheque/money order

Cash

EFT

No invoices – receipts will be issued.

 

WAALC Bank details

Westpac

BSB: 036-087 Account No:  136270

Account Name: Western Australian Adult Literacy Council

 

WAALC details

WAALC, PO Box 313, Northbridge Post Office WA 6865

Ph: 08 9319 5155

Fax: 08 9328 4046

Email: info@waalc.org.au

 

or