WAIER Forum 2005: Registration Form

Western Australian Institute for Educational Research Inc.

20th Annual Research Forum
at Edith Cowan University, 2 Bradford Street, Mt Lawley
9.30 am - 4.30 pm, Saturday 6 August

Forum 2005 Registration

Please dump to printer, complete details and return with payment by 11 July to:
[Late registration may still be available after 11 July, please inquire - contact details below]

Susan Beltman, WAIER Secretary
Department of Education
Curtin University of Technology
GPO Box U1978, Perth WA 6845

Name:  ________________________________________________ Title: ______

Institution: ________________________________________________________

Department: _________________________________________________________

Postal Address: _____________________________________________________

       ______________________________________________________________

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

Email: ______________________________________________________________

Membership and Registration Fee Full time employment: $115 Full time student: $70 Other categories: $70 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 Journal subscription (2 issues per year) Forum Proceedings Morning and afternoon tea Lunch Post-conference Happy Hour
Membership only (no Forum attendance): $60	Membership and IIER Journal only
WAIER's ABN is 20 438 800 399
Inquiries: Susan Beltman Email: S.Beltman@curtin.edu.au Tel: 9266 2161

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Last revised 18 May 2006. This URL: http://www.waier.org.au/forums/2005/regis-form.html
HTML: Roger Atkinson [rjatkinson@bigpond.com] and Clare McBeath [c.mcbeath@curtin.edu.au]