WAIER Forum 2004: Registration Form

Western Australian Institute for Educational Research Inc.

19th Annual Research Forum
at Edith Cowan University, 2 Bradford Street, Mt Lawley
9.30 am - 4.30 pm, Saturday 7 August

Forum 2004 Registration

Please dump to printer, complete details and return with payment by 5 July to:
[Late registration may still be available after 5 July, please inquire - contact details below]

Susan Beltman, WAIER Secretary
School of Education
Murdoch University
Murdoch WA 6150

Name:  ________________________________________________ Title: ______

Institution: ________________________________________________________

Department: _________________________________________________________

Postal Address: _____________________________________________________

       ______________________________________________________________

Phone: _______________ (Wk) ______________ (Hm) _______________ (Fax)

Email: ______________________________________________________________

Membership and Registration Fee

Full time employment:    $105
Full time student:    $65
Other categories:     $65
Membership only (no Forum attendance): $55

WAIER's ABN is 20 438 800 399
Please make your cheques payable to "Western Australian Institute for Educational Research" or "WAIER"
(Sorry, no EFTPOS or credit card facilities available)

Fee includes:

Membership and Registration for the Forum
IIER Journals
Forum Proceedings
Morning and afternoon tea
Lunch
Post-conference Happy Hour

NOTE: No fee increases from last year!

Inquiries: Susan Beltman
Email: beltman@murdoch.edu.au
Tel: 9360 2626

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Last revised 19 May 2006. This URL: http://www.waier.org.au/archives/forums/2004/regis-form.html
HTML: Roger Atkinson [rjatkinson@bigpond.com] and Clare McBeath [c.mcbeath@curtin.edu.au]