Conference 2: Registration

*Member prices greatly subsidised by the MGTAV!

REGISTRATION FORM

DETAILS

* Indicates required field

Name *

First

Last

CONFERENCE COST

Members: $80 (Full Members)

$55 (Full time tertiary students)

Non-Members: $170

Email *

Not already an MGTAV member?
Click here to become a member for:
$25 (Full Members)
$10 (Full time tertiary students)

Phone Number *

PHOTO CONSENT

The MGTAV will be taking photos during the event, and these photos may be used on the MGTAV website. Please read the statement below, and indicate accordingly whether you give permission for your photo to be used or not.

I grant permission to the MODERN GREEK TEACHERS' ASSOCIATION OF VICTORIA to use photographs, images or videos of me from this event, taken for use in materials that include, but may not be limited to, printed materials such as Brochures and Newsletters, and online materials such as videos or digital images used on the MGTAV's Website. *

Yes, I grant permission No, I do not grant permission

SCHOOL

Do you work in a Day School? *

* YES- please proceed to the next question.
NO- please proceed to the payment section of this form.

Will your day school be paying for your attendance? *

*YES- please proceed to the next question.
NO- please proceed to the payment section of this form.

If yes, please provide a purchase order number/invoice number *

Name of school to be invoiced *

Name of teacher *

Teacher Contact Number (mobile) *

PAYMENT

Form of Payment *

EFT Payment Cheque

For EFT Payments:

NAB Account: Modern Greek Teachers’ Association of Victoria
BSB: 083 – 019
Account: 51- 518 - 5403
Reference: << YOUR NAME >>
Put in your name so that we may send you your receipt.

For Cheque Payments:

Post your cheque made out to the MGTAV to:
MGTAV
PO Box 332
Carlton South 3053

PLEASE NOTE: We will process your attendance form immediately, however your place will only be reserved and confirmed when payment has been received, and we will then send you a receipt.
Please email us – [email protected] - or call us on 0411 789 798 if you need any further help!

Submit