WAIER logo

Western Australian Institute for Educational Research Inc.

23rd Annual Research Forum
at Edith Cowan University, 2 Bradford Street, Mt Lawley
9.30 am - 4.30 pm, Saturday 9 August

Forum 2008 Registration


Please dump to printer, complete details and return with payment by 31 July to:
[An MS Word version of this form may be used instead: download regis-form.doc]
[Late registration may still be available after 31 July, please inquire - contact details below]
Dr Lina Pelliccione
Department of Education
Curtin University of Technology
GPO Box U1987
Perth WA 6845
Email: l.pelliccione@curtin.edu.au Tel: 9226 2169 Fax: 9266 2547 
Name:  ________________________________________________ Title: _____

Institution: _______________________________________________________

Department: _______________________________________________________

Postal Address: ____________________________________________________

       _____________________________________________________________

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

Email: _____________________________________________________________

Payment option (circle one):   Cheque   Credit Card

If Credit Card payment, give type (circle): Visa Mastercard Bankcard

Name on Credit Card  _______________________________________________

Credit Card Number   __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Amount to be paid (see below): $________   Expiry Date __ __ / __ __

Card Holder Signature   ____________________________________________

Please make cheques payable to "Western Australian Institute for Educational Research" or "WAIER".
WAIER's ABN is 20 438 800 399
Membership and Registration Fee Fee includes:
Institutional Membership
Standard Membership (F/T employment)
Student Membership (F/T student)
Other category (retired, P/T employed etc)
Member Only (No Forum attendance)		 $150.00
$125.00
$80.00
$80.00
$70.00
  • Membership and Registration for the Forum
  • IIER Journal (online)
  • Research Seminars
  • Forum Proceedings (online)
  • Forum morning tea and lunch
  • Post-Forum Happy Hour
The Member Only category, for those who wish to join WAIER or remain a member but who are unable to attend the 2008 Forum, provides Membership, IIER Journal (online), Research Seminars and Forum Proceedings (online).

[ Forum Invitation ] [ Abstract Submission ] [ WAIER Home Page ]
Last revised 15 Mar 2008. This URL: http://www.waier.org.au/forums/2008/regis-form.html
HTML: Roger Atkinson [rjatkinson@bigpond.com]