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Form 1

VIEWS: 4 PAGES: 2

									Form 1
                   Regional Group Annual Registration Form
See pages 1 to 4 in the Policy, Procedures and Guidelines for the operation of ECTA
Regional Groups (downloadable from www.ecta.org.au ‘Regional Groups/Setting Up Your
Regional Group’).
REGIONAL GROUP DETAILS
Date:                                   /       /
Name:                             ECTA              REGIONAL GROUP
Details of Office Bearers eg. Chair, secretary, treasurer, library facilitator, workshop
convenor. Note: Office Bearers MUST be ECTA financial members.
A REGIONAL GROUP MUST HAVE AT LEAST 3 ECTA FINANCIAL MEMBERS
                   PLEASE NOTE E-MAIL IS THE MAIN FORM OF COMMUNICAITON

Name of Office Bearer
Position
Contact Address
Telephone                         W                                    H
FAX/mobile
School/Centre
E-Mail

Name of Office Bearer
Position
Contact Address
Telephone                         W                                    H
FAX/mobile
School/Centre
E-Mail
Name of Office Bearer
Position
Contact Address
Telephone                         W                                    H
FAX/mobile
School/Centre
E-Mail

BANK ACCOUNT DETAILS
Signatories             1
(ECTA financial
members)                2
Funding sought for          Petty Cash         Professional Development    See forms 2 & 3

ECTA Policy and Procedures for the Operation of Regional Groups – FEB 09        1/2
How many members in your Regional Group?
How many members of your Group are financial ECTA members?
Please list names of financial ECTA members




What are your proposed Regional Group meeting dates for this year?                            (For
posting on the website)




How does your Group plan to provide for local professional development needs?




On behalf of ECTA       Regional Group I confirm that the activities of this group will be
conducted in accordance with ECTA’s Policies and Procedures for Regional Groups.

Name of Primary Contact Person:


Signature of Primary Contact:


Date:       /      /

                 ECTA is an incorporated association with Commercial insurance of $5 mil.




ECTA Policy and Procedures for the Operation of Regional Groups – FEB 09                2/2

								
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