A to Zoo 2012 T2 Registration Form and Tax Invoice 2 by 04f774


									                                           A to Zoo – Term 2 Registration Form/Tax Invoice 2012
           Please complete the registration form and send it with your payment to Perth Zoo. You will then be sent a letter of confirmation.

Registration                                                                                          Payment Details
Parent/Guardian’s Name:____________________________________                                           Type of Payment (please tick)
Child(ren)s Name(s) and Age(s) (Minimum age at commencement of                                         Cheque  Mastercard  VISA  AMEX                                          DINERS
term is 2 years):
1 ________________________________ Age: __________                                                    Total amount payable*: _______ ($44.00 per 8 week term – GST inclusive)
2 ________________________________ Age: __________                                                    Please make cheques payable to Perth Zoo.
3 ________________________________ Age: __________
                                                                                                      Credit card details
Address:_________________________________________________                                             Cardholder’s name: ______________________________________
Suburb:__________________________________P/Code:________                                              Card Number:
Email Address:____________________________________________                                               
Phone Number:____________________________                                                             Expiry Date:   /  
                                                                                                      Signature: ______________________________________________
Does your child(ren) suffer from any medical condition which Perth
Zoo needs to be aware of?                                                                             TAX INVOICE:
 No  Yes (If ‘Yes’ please give details below)                                                       This document becomes a tax invoice for GST upon completion and
________________________________________________________                                              payment. Please photocopy and maintain for your records.
________________________________________________________                                              Note: Individual forms must be completed for each attendee.
                                                                                                      Please sign and date below.
Booking Details                                                                                       Signature for Tax Invoice purposes _____________Date __________
Term 2: Friday 11 May 2012 – Friday 29 June 2012
Please number the session times in order of preference for the                                        Please forward your completed registration form and payment to:
sessions you are willing to attend only.                                                              A to Zoo – Perth Zoo Discovery and Learning
FULL – Not Available           FULL – Not Available                                                   Perth Zoo
                                                                                                      PO Box 489
9:30am                         11:00am                          1:00pm                                South Perth 6951
                                                                                                      FAX: 9474 4113
 Official Use Only:                                                                                   EMAIL: discoveryandlearning@perthzoo.wa.gov.au
 Locator Number:       _____________________________                                                  ABN: 12 249 686 526
 Session Time:         _____________________________                                                  *Refund Policy: Refunds are only available if we receive notification of cancellation seven days before
                                                                                                      the first week of term. We are unable to offer refunds for non-attendance. The $44 fee (GST inclusive)
 Children’s Names:     _____________________________                                                  covers the A to Zoo program only. Accompanying adults and children over 4 will incur an additional cost
                                                                                                      for admittance to Perth Zoo each week, unless they are a Zoo Friend.

                       For more information please visit the Perth Zoo website: perthzoo.com, or alternatively call Perth Zoo Discovery and Learning on (08) 9474 0365

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