Annual Calendar
Registration Form
Membership Details
Wednesday 2 and Thursday 3 December, Ashwood College
Please fill out the information below to complete your registration. Items marked * must be included. Download the conference programme here.
For payment by cheque or credit card, please print a copy of this form by clicking here now. Once you have printed the form, reserve your place at the activity (pending receipt of payment) by clicking the Send form button below. If paying by cheque, please send to DATTA Vic, 150 Palmerston St, Carlton 3053. If paying by credit card please add your credit card details (please print clearly, using capital letters), and send to the above address, or fax to 03 9349 5391.
Name on Credit Card
__________________________________________
Card Number
__________ __________ __________ __________
Expiry Date
________ Month ________ Year
Signature