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Digital Dilemmas July 26-28 2013

iPad Visual Art Teacher Professional Development Weekend


Boyd Education Centre Riversdale

Booking Form
Contact Information
First Name.......................................................................Surname...........................................................
School or Organisation.............................................................................................................................
Position or Title........................................................................................................................................
School or Organisation Postcode.........................
Phone Number 1....................................................Phone Number 2.................................................
Email:............................................................................................
Package selection- please tick one of the following packages:

FULL PACKAGE
VADEA MEMBERS FULL PACKAGE
NON-RESIDENTIAL PACKAGE
NON-RESIDENTIAL PACKAGE LOCAL SCHOOLS

270
220
150
110

Payment
Booking and payment due by Tuesday July 16 2013. Payment Options are Direct Debit or Credit
Card

Direct Debit
Use the code DDSS in payment advice information box
Bank: Westpac Banking Corporation
BSB No: 032 691
Account Number: 354 137

Account Name: Bundanon Trust

or

Credit Card
Phone Mary on 02 4422 2115 or Sarah on 4422 2100 to pay by Credit card
Please complete payment and email this completed form to mary@bundanon.com.au