Student Events Registration Form

Teacher Details

Name *

School / Organisation *

Campus

Town / Suburb *

School Type *

DET Region: *

Teacher Details

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 *

DATTA Vic member?

Conditions *

I acknowledge that if I do not have a current DATTA Vic membership, I will be billed for this session at the non-members' rate

Workshop Registration

Select the workshop/s you wish to attend

Industrial Design at RMIT Information Session, 4pm - 5.30pm, October 16 (PL2068

Number of students attending *

Number of accompanying teachers *

Number of accompanying family members *

Comments or queries

Payment Details

Tax Invoice ABN 97 315 356 383 - - - If you experience problems submitting form please print and scan it to us. Or email pl@datta.vic.edu.au with your details and booking info. DATTA Vic Cancellations and Refunds: DATTA Vic will refund the full fee less an administration cost if you cancel 4 or more working days before a workshop, seminar or conference and 50% of the fee if you cancel 1 to 3 days before the event. If you register but do not attend without cancelling prior to an event you will be charged the full fee unless a medical certificate is provided. Please note our events are photographed, and the images are used on our website and social media. If you do not wish your image to be used, contact pl@datta.vic.edu.au

I am paying by *

School PO

Invoice me for personal bank transfer

Students registering individually MUST pay via bank transfer upon invoice.

Purchase order number *

Contact Name for Payment *

Contact Name for Personal Payment *

Billing Email *

Email *

Personal Billing Address House no. & Street *

Suburb *

Postcode *