2020 JLTAV Annual Conference Refund Form
Please complete and submit one form per school. One refund will be paid per school. If you registered as an individual or CRT because you are currently not working at a school, please write 'not applicable' in the school/business name section.
Email address *
Confirm email address *
ABN (for corporations)
Name *
School/Business Name *
School/Business Address *
Reference (name of teachers and amount paid per teacher) *
Total amount to be reimbursed (if multiple teachers registered from the same school, please include the total amount to be reimbursed) *
Bank Details: Account Name *
Bank Details: BSB *
Bank Details: Account Number *
*
Required
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