APPLICATION FOR AN A.C.E. YEAR 10/12 CERTIFICATE
Please send this form with the final tests for graduation.
AUSTRALIAN CHRISTIAN COLLEGE - SOUTHLANDS
Family Name ____________________________________Customer Code ____________
Student Name _____________________________________________________________
(as you wish it to appear on the Certificate)
City _______________________ State ____________ Postcode __________
Please the appropriate box:
Year 10 General Year 10 Academic
Year 12 General Year 12 Academic
Full Certificate in folder OR Upgrade papers if you already
have an ACE Certificate
Date the student completed all requirements _____/______/_____
Certificate required for special date (eg Awards Night) _____/______/_____
Is this student continuing to study with ACC Southlands following this certificate? Yes No
Please return this form to Australian Christian College - Southlands, Locked Bag 5,
Albany WA 6330 together with your Certificate Processing Fee.
Certificate Processing Fee: Full folder $30.00 + Freight $10.00 (in Australia)
Upgrade papers $15.00 + Freight $2.75 (Australia)
Overseas freight costs will vary.
PLEASE TICK THE PAYMENT METHOD OF YOUR CHOICE
Please find enclosed my cheque for $ ___________ .
Please debit my credit card with $ ______________ .
Credit Card Details: Visa Mastercard
Credit Card Number: ______________________________________ Expiry Date ____________
PLEASE ALLOW THREE WEEKS FOR PROCESSING
Please remember to write “Final Tests” on the outside of the Test Envelope.