Membership TypeMemberships are valid for the 2019 calendar year. All prices include GST. Select membership * Primary School $132 School F-10 $242 Secondary School $396 Tertiary Institution or External Organisation $132 Main Contact Details First name * Surname * Position Email Address * Confirm Email Address * Organisation Details School / Organisation * Postal Address * Town / Suburb * Postcode * State * - Select -VICACTNSWQLDSATASWAInternational Type * - Select -GovernmentCatholicIndependentSpecialOther Organisation Region * - Select -South EasternSouth WesternNorth EasternNorth Western Locality * - Select -Rural/regionalMetropolitan TeachersPlease enter the names and emails of the teachers who will be covered by the membership, eg. Laura Murphy - pl@datta.vic.edu.au Teachers * The contacts 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. Payment DetailsABN 97 315 356 383 - Be sure to quote your invoice number in any payments. Credit card payments will incur a 2% administration fee. Paying by * EFT / School PO Credit card Credit card payments will incur a 2% administration fee - Please call us after you have submitted this form to process your payment, Tuesday-Friday on 03 9349 1538. Payment contact * Purchase order number Accounts contact * Accounts email *