Please fill out the information below to complete your
registration.
Fields marked * must be filled out.
| Participant Details |
| * First Name |
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| * Surname |
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| * Gender |
Male
Female |
| Home Contact Details |
| * Street address: |
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| * Town / Suburb: |
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| * Postcode: |
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| * Phone: |
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| * Mobile Phone : |
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| * Email address: |
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| * confirm email address: |
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| School Contact Details |
| * Your school's name |
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| * School street address: |
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| * Town / Suburb: |
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| * Postcode: |
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| * School type |
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| Lecture Options.: |
NOTE: If you wish to attend Further Maths at one venue and Specialist Maths at another venue please contact the MAV on 9380 2399 to make arrangements.
Please select the Session A and/or Session B lecture you wish to attend: |
| * Session A |
Not attending Session A
Maths Methods - Brunswick, Sat 20 Sep 2008 - 9.00am - 12.00noon
Maths Methods - Glen Waverley, Sun 21 Sep 2008 - 9.00am - 12.00noon
Maths Methods - Hamilton, Sun 21 Sep 2008 - 9.00am - 12.00noon
Maths Methods - Mildura, Sat 20 Sep 2008 - 1.00 - 4.00pm
Maths Methods - Sale, Sun 21 Sep 2008 - 9.00am - 12.00noon
Maths Methods (CAS) - Brunswick, Sat 20 Sep 2008 - 9.00am - 12.00noon
Maths Methods (CAS) - Glen Waverley, Sun 21 Sep 2008 - 9.00am - 12.00noon
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| * Session B |
Not attending Session B
Further Maths - Brunswick, Sat 20 Sep 2008 - 1.00 - 4.00pm
Further Maths - Glen Waverley, Sun 21 Sep 2008 - 1.00 - 4.00pm
Further Maths - Hamilton, Sun 21 Sep 2008 - 1.00 - 4.00pm
Further Maths - Mildura, Sun 21 Sep 2008 - 9.00am - 12.00noon
Further Maths - Sale, Sun 21 Sep 2008 - 1.00 - 4.00pm
Specialist Maths - Brunswick, Sat 20 Sep 2008 - 1.00 - 4.00pm
Specialist Maths - Glen Waverley, Sun, 21 Sep 2008 - 1.00 - 4.00pm
Specialist Maths - Hamilton, Sun 21 Sep 2008 - 1.00 - 4.00pm
Specialist Maths - Mildura, Sun 21 Sep 2008 - 9.00am - 12.00noon
Specialist Maths - Sale, Sun 21 Sep 2008 - 1.00 - 4.00pm
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| If you have chosen Further Maths please indicate the THREE modules that you study. This will assist the lecturers with their preparation. |
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| Payment Details - Tax Invoice |
Mathematical Association of Victoria
ABN 34 004 892 755
When payment is made this form will become a Tax Invoice for accounting purposes. Please print a copy for your records.
| FULL PRICE - $38 for 1 lecture, $66 for 2 lectures (Includes GST) |
| DISCOUNT PRICE - $33 for 1 lecture, $55 for 2 lectures (Includes GST). If you are a student at one of the following schools you are eligible for the discount price: |
| St Joseph’s College Mildura |
Glen Waverley Secondary College |
Brunswick Secondary College |
| Mildura Senior College |
Sale Catholic College |
Baimbridge College, Hamilton |
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| * Are you a student at one of these schools?: |
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* Amount to pay:
Prices include GST |
$38 (FULL PRICE - One lecture)
$66 (FULL PRICE - Two lectures)
$33 (DISCOUNT PRICE - One lecture)
$55 (DISCOUNT PRICE - Two lectures)
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Payment method |
The Mathematical Association of Victoria accepts payment by Visa, MasterCard, Cheque or Money Order.
Please choose one of the payment options below.
If paying by credit card your payment will be made via the Bendigo Bank’s secure online payment facility. |
* Payment method: |
Visa
MasterCard
Cheque
Money order |
If paying by Cheque or Money Order, please make sure you print a copy of the completed form to send with your payment AND then Register by clicking the Submit Registration below. Please send your printed copy with your payment to:
MAV
61 Blyth St
Brunswick 3056 VIC
Note that your enrolment cannot be confirmed until payment is received. |
| Acknowledgement of application |
| You will automatically receive an acknowledgement of application by email once you submit this registration. If a lecture is fully booked you will be notified and added to the waiting list. |
| Confirmation of enrolment |
| Confirmation of lecture details and venue will be sent BY EMAIL once your enrolment has been accepted and paid for. Approximately 2 – 3 weeks after enrolment. |
| Cancellation Policy |
You may cancel your registration up to 10 working days prior to the Professional Learning program and receive a full refund.
Registrations cancelled less than 10 working days prior to the day will receive a 50% refund, but cancellations less than 48 hours prior to the day will not be refunded. If for any reason the proposed Revision Lecture does not run in its advertised format, participants will be notified of alterations and given the option of confirming their booking or cancelling with a full refund. The MAV reserves the right to cancel programs at any time. In the event of cancellation by the MAV, the participant will receive a full refund. |