2021 JLTAV Inc. Annual Conference - Online

2021 JLTAV Inc. Annual Conference - Online - Registration Form

Note: Please renew your JLTAV membership for 2021 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 15 APRIL
CLOSING DATE FOR ALL REGISTRATIONS IS THURSDAY 22 APRIL

The Japanese Language Teachers' Association of Victoria Inc.
LPO Box 8157, 12 Ancora Imparo Way, Monash University VIC 3800
Date: email date
Number: 2-3/2020
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
• The conference program may change and the JLTAV reserves the right to make any changes to the program
• Individual Google Meet links will be sent to delegates for each session they register to attend

Email address *

Confirmation *

I have read the above registration and cancellation information. If applying for the early bird rate I understand that payment must be received by the JLTAV Office by Thursday 22 April. Should early bird payment not be received by this date the JLTAV will send an invoice for the non-early bird rate.

Required

Registration Rates - WHEN MAKING PAYMENT PLEASE WRITE YOUR FULL NAME AS REFERENCE *

JLTAV MEMBER ON OR BEFORE THURSDAY 15 APRIL ($100)

NON-JLTAV MEMBER OR REGISTERING AFTER THURSDAY 15 APRIL ($150)

PRESENTER

Required

The amount to be paid *

School sector *

Government

Catholic

Independent

Other:

Required

Location *

Metropolitan

Regional

Interstate

International

Required

Title *

Mrs

Miss

Required

Name *

School name *

School street address *

School suburb/town, state and post code *

School or mobile telephone number *

Confirm contact person's email address *

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 2021 JLTAV Annual Conference, please contact
Nathan Lane: nlane@mackillopsh.vic.edu.au
Kathleen Duquemin: kathleen.duquemin@education.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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