APPLICATION FOR AN A.C.E. YEAR 1012 CERTIFICATE AUSTRALIAN

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APPLICATION FOR AN A.C.E. YEAR 1012 CERTIFICATE AUSTRALIAN Powered By Docstoc
					                          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)

Address                 _____________________________________________________________

City                    _______________________ State           ____________ Postcode __________


Please       the appropriate box:

                 Year 10 General                                       Year 10 Academic

                 Year 12 General                                       Year 12 Academic

Please       .

        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       ____________

Signature:                  ______________________________________

                            PLEASE ALLOW THREE WEEKS FOR PROCESSING
                 Please remember to write “Final Tests” on the outside of the Test Envelope.

DE ac-SCEE-CertifcateApp-1203