2019 JLTAV Inc. Annual Conference Registration Form (Friday 29 and Saturday 30 March) Melbourne Convention and Exhibition Centre, South Wharf
Note: Please renew your JLTAV membership for 2019 through the JLTAV website before you register for the conference. If you register for the conference as a non-member, and then pay JLTAV membership, you will have to pay the non-member rate. No changes will be allowed.

TAX INVOICE and APPLICATION FORM - Please print this form BEFORE you submit - this form becomes your Tax Invoice

EARLY BIRD REGISTRATION CLOSES THURSDAY 14 FEBRUARY
CLOSING DATE FOR ALL REGISTRATIONS IS THURSDAY 21 MARCH
ABN 29 370 901 218

The amount includes GST

PAYMENT
Payment through EFT:
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.

IMPORTANT: PLEASE READ
• 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
• 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

Accommodation Subsidy for JLTAV Members from Regional Areas
An accommodation subsidy is available for JLTAV regional teachers living 100km or further from the conference venue (Melbourne Convention and Exhibition Centre). Please use Google Maps to check if you are eligible for the accommodation subsidy. the subsidies offered are:
• with a 1 day conference registration: 1 night subsidy of $50 (either Thursday or Friday night)
• with a 2 day conference registration: 2 nights subsidy of $100 (Thursday and Friday nights)
Regional JLTAV members will be able to apply for the accommodation subsidy through the JLTAV website after the conference. Please make sure you obtain a receipt for your accommodation in order to claim this.

Email address *
Confirmation *
Required
Registration Rates *
Required
The amount to be paid *
Your answer
I will be attending *
Required
I will be attending the JLTAV Inc. Annual General Meeting (AGM) - Friday 29 March from 4.30 pm to 5.30 pm *
Required
School sector *
Required
Location *
Required
Title *
Required
Name *
Your answer
School name *
Your answer
School street address *
Your answer
School suburb/town, state and post code *
Your answer
School or mobile telephone number *
Your answer
Confirm contact person's email address *
Your answer
Special dietary requirements *
Your answer
Please note:
IMPORTANT!
Make sure your email address has been correctly entered as you will receive a copy of your responses. In the reference field of the EFT please write your school name.

Any inquires about the 2019 JLTAV Annual Conference, please contact
Nathan Lane: nrlane@pcw.vic.edu.au
Kathleen Duquemin: duquemin.kathleen.k@edumail.vic.gov.au
JLTAV Office: jltav@jltav.org.au

IMPORTANT: After you fill in this page please print it and use as a TAX INVOICE to organise the payment from your school before you continue to the next page (make sure you press submit at the end)
**Your registration will not be processed until payment has been received**
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