Registration for:

Game Sense - Game Sense Workshop Day 30/3/2012

Cost

This workshop costs $220.00 You must select Group or Individual registration.

Personal details

Title

First name * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Last name * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Preferred name

School/Institution * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Contact details

Address * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Suburb / City * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

State / Province * This question must be answered.

Please specify... * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Postcode / ZIP * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Work phone * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

Fax

Mobile

Email * This question must be answered. This does not look like a valid email address.

Other information

Position * This question must be answered. Please enter the answer in the correct format. The number is less than the minimum allowed. The number is greater than the maximum allowed.

NESA Number

Teaching areas

Stage/s taught This question must be answered.

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Payment information

Purchase Order Reference

To finalise your registration, please select a payment method below.

Paying by Credit Card will transfer you to the University's secure payment gateway.

Paying on Tax Invoice will generate a Tax Invoice for payment via cheque.