JLTAV Inc. Language Maintenance Immersion Weekend (11 - 13 October, 2019) Tax Invoice and Application Form
Venue: Mantra Lorne (35 Mountjoy Parade, Lorne 3232)

Early Bird rate (available until Thursday 1 August)
Twin share: $300.00
Single room: $450.00

Late Bird rate (after Thursday 1 August)
Twin share: $360.00
Single Room: $510.00

The amount includes accommodation, meals (Friday dinner until Sunday lunch), organised social activities, all course fees and GST

This initiative is funded by the Victorian Government

REGISTRATIONS CLOSE Tuesday 10th September 2019
ABN 29 370 901 218

Account Name: JLTAV Inc.
BSB 033 034 Account Number 61 1599
IMPORTANT: If you are sending money from your personal account, please write the name of your school in the reference section of Net-banking form.

Payment through PayPal:
Pay to jltav@jltav.org.au using PayPal. Put your name in the reference section.

• When pressing ‘submit’ on this form teachers are committing to attending the event and paying the registration fee to the JLTAV Office
• The JLTAV reserve the right to charge teachers for registering online to attend events and then failing to pay the registration fee
• Failure to pay the registration fee three weeks prior to the event may mean a teacher’s registration for the event is cancelled
• Please refer to the JLTAV Refund and Cancellation Policy below

JLTAV Refund and Cancellation Policy
An administration fee may be charged according to the following scale:
• Cancellations occurring three weeks before the date of the event will receive a refund minus a 20% administration fee
• Non-attendance or cancellations after this date will not be refunded due to confirmed charges for catering and venue hire

Email address *
Confirmation *
Title *
Name *
Your answer
School name *
Your answer
School street address *
Your answer
School suburb/town, state and post code *
e.g. CLAYTON VIC 3800
Your answer
School or mobile telephone number *
Your answer
Contact person's email address *
Your answer
Special dietary requirements *
Your answer
Amount to be paid: *
IMPORTANT: Please print this page and use as a TAX INVOICE to organize the payment from your school
**Your registration will not be processed until payment has been received**
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