The Legacy Junior Public Speaking Award 2009 Entry Form

							                          NSW Department of Education & Training − ABN 40 300 173 822
                          The Legacy Junior Public Speaking Award                                                  Print Form

                          2009 Entry Form & Tax Invoice
▪The deadline for submitting entries is Monday 27 March 2009.
▪Entry fees are $50.00 per student for non-government schools and $25.00 per student for government schools (GST included).
▪Please make cheques payable to "NSW Department of Education & Training".
▪Schools submitting an entry form must pay the appropriate fee, even where they subsequently withdraw from the competition.
▪Please note that this form can either be completed by hand or completed on your computer and then printed, signed and faxed.
▪Please fax this form immediately to (02) 9569 6878, and then post payment when possible.



  SCHOOL:                                                                                     NO. OF STUDENTS:        1         2


  1ST STUDENT'S NAME (IF KNOWN):


  2ND STUDENT'S NAME (IF KNOWN):


  SCHOOL'S PHONE:                                                      SCHOOL'S FAX:


  CONTACT TEACHER:                                                 MOBILE / AH PHONE:


  HEAD TEACHER'S NAME:                                                     SIGNATURE:


  PRINCIPAL'S NAME:                                                        SIGNATURE:


  HOSTING A FINAL: Finals can be held in school halls, libraries or double rooms. They begin at 9.30am or 10.00am and generally run
  for 3 hours. Hosting a final provides an excellent opportunity for your students to observe advanced public speaking.
  Is your school prepared to host a final in this competition?       YES          NO
                                                                                                   PROUDLY SUPPORTED BY
  ENQUIRIES                               PLEASE SEND COMPLETED FORMS TO
  T: (02) 8512 1172                       FAX:    (02) 9569 6878
  F: (02) 9569 6878                       POST: The Arts Unit
  E: lloyd.cameron@det.nsw.edu.au                 Locked Bag 3003
  W: www.pau.nsw.edu.au                           SUMMER HILL 2130

  PAYMENT & TAX INVOICE : LJPSA                                                                 ABN: 40 300 173 882
  Please attach a cheque for $                made out to "NSW Department of Education & Training", or complete the details below.

  Please charge $                to the following:      VISA          MASTERCARD                   EXPIRY DATE:           /


  CARDHOLDER'S NAME:                                                       SIGNATURE:


    RETURN PAYMENT ADVICE TO: NSW DEPARTMENT OF EDUCATION & TRAINING, LOCKED BAG 3003, SUMMER HILL NSW 2130