Members' Events Registration Form

Workshop Registration

DATTA Vic member?

Select the workshop/s you wish to attend *

DATTA Vic 2021 AGM, 14 October (PL2138)

Number of students attending *

Numbers MUST be confirmed 1 week before the event, otherwise you will be charged for the number booked.

Conditions *

By ticking this box, I acknowledge that these events are for DATTA Vic members only (or members of partner organisations). If I register and have not joined, I agree to be invoiced for the price of an individual membership ($99) for the current calendar year

By ticking this box, I acknowledge that my identity will be seen by other participants in the virtual group, and these participants are able to chat with me, either with a whole group message or in a private message. I acknowledge that if I wish my identity to remain hidden, I must alter my details in my own account settings.

I want to register *

Attendee 1

The contact/s provided will be added to our members' mailing list, and will receive correspondence from DATTA Vic, including newsletters, updates on new resources, job alerts and pl opportunities. If you wish to be removed from this list, please contact Laura at pl@datta.vic.edu.au.

Name *

School/Organisation *

Mobile *

Email address *

Confirm Email address *

Attendee 2

Name *

School/Organisation *

Mobile *

Email address *

Confirm Email address *

Attendee 3

Name *

School/Organisation *

Mobile *

Email address *

Confirm email address *

Organisation Details

School / Organisation *

Campus

Town / Suburb *

School Type *

DET Region: *

Comments or queries

Please let us know if you have a program/idea you wish to discuss during this session

Payment Details

This section is to be completed by non-members, who will be invoiced for the cost of an individual membership ($99). DATTA Vic ABN: 93 315 356 383

PO Number

Contact Name for Payment *

Email *

Billing Address *

Suburb *

Postcode *

Phone *