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ISANA Registration Template-IELTS

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contact: Peter Michaels

phone: 02 9662 4393

e-mail: pmichaels@worldcare.com.au





ISANA: International Education Association

ABN 42 335 124 078



This Registration Form is a Tax Invoice for GST and payment is GST inclusive.



ISANA NSW Professional Development Program



“IELTS + TOEFL Workshop”

9:00am – 2:00pm: June 26, 2009

CB10.02.470, Building 10, UTS, Jones Street, Broadway







Name: ____________________________________________________________



Position: ____________________________________________________________



Institution: _____________________________________________________________



Phone: ________________________ Fax:__________________________



e-mail: ____________________________________________________________







Please forward completed registration form to Peter Michaels at pmichales@worldcare.com.au





ISANA Member ($50) Non-member ($80)







Please indicate your payment option:



I will bring a cheque payable to ISANA on the day



I will transfer to the following bank account:

BSB 062303 Account: 10102882 Account name: ISANA NSW

(please include your name in the reference section)



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