PDHPE Teachers' Association 2019 Annual State Conference Registration
Registration Form
Email address *
PDHPE TA Conference Registration
'Culture, Connection, Community and Change'
Conference theme
The Range, Wagga Wagga
Conference Registration
Tax Invoice ABN 15821105441

The Range Function Centre, 308 Copland St, East Wagga Wagga NSW 2650

Friday and Saturday, 18th-19th October, 2019

First Name: *
Your answer
Last Name: *
Your answer
Gender: *
Place of Employment: *
Your answer
Position: (e.g. Teacher, Head Teacher) *
Your answer
NESA Teacher Accreditation No.: *
Your answer
Work phone: *
Your answer
A/H Phone: *
Your answer
Do you have any dietary requirements? (please specify below) *
Please specify dietary requirements if required:
Your answer
Conference Options
Please note the variations in price for current 2019 financial members.

All conference prices include PDHPETA Membership for 2020.

Conference Dinner will be held on Friday 18th October at The Range Function Centre.

Delegates are requested to bring their own notebook or laptop. Wireless internet access is included in the 2019 Package.

Please choose your conference package below.

MEMBERS
These payment options are for 2019 PDHPE TA financial members only.
MEMBERS - Please select your preferred conference option:
NON-MEMBERS
These payment options are for non financial members.
Non-members - Please select your preferred conference option:
Payment details
Once you have submitted your registration, you will be required to SUBMIT YOUR PAYMENT ONLINE, via CHEQUE or through your school SAP HR payroll system.

Registration is NOT complete until payment is received.

Please note: the SAP process takes 30 days for funds to be received, this payments need to be processed with this in mind.

ALL REGISTRATION and PAYMENT must be received BEFORE Friday 8th September 2019.

****The PDHPETA is NOT registered for GST****

Pay by Direct Deposit
You can also direct deposit into the PDHPETA bank account, details of which are below:
Account Name: PDHPE Teacher’s Association Inc.
Account BSB: 062-185
Account Number: 10163952

Cheques should be made payable to: The PDHPE Teachers’ Association.
Please forward cheque to:
Kelly Parry
Administrative Assistant,
PDHPE Teachers’ Association,
PO BOX 25
BEECROFT NSW 2119

****The PDHPETA is NOT registered for GST****

Conference enquiries to:
Kelly Ann Parry (Administration assistant) - kellyparry.pdhpe@gmail.com
Jean Duma (Conference chair) - jean.duma@det.nsw.edu.au

Accommodation options can be found on the conference page of the PDHPE TA website.
(This is to be booked by delegates)

REGISTRATION WILL NOT BE ACCEPTED WITHOUT PAYMENT.

PDHPE Teachers' Association
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service