First Name (Delegate One)
Last Name (Delegate One)

First Name (Delegate Two )
Last Name (Delegate Two)

First Name (Delegate Three)
Last Name (Delegate Three)

First Name (Delegate Four)
Last Name (Delegate Four)

First Name (Delegate Five)
Last Name (Delegate Five)

First Name (Delegate Six)
Last Name (Delegate Six)

Accounts person name & email

Institution

Address

State

Country

Email

Telephone

Fax

Order number (if applicable)

Western Australia

(The Esplanade Hotel Fremantle) I/we would like to register for Day 1 Thursday 24th May 2012 MASTERCLASS 'EYES WISE OPEN' part of the Positive Schools Conference hosted by Sandra Sulley (early bird rate $285.00 Ex Gst).

(The Esplanade Hotel Fremantle) I/we would like to register for Day 2 Friday 25th May 2012 'Positive Schools main day' (early bird rate $285.00 Ex Gst).

(The Esplanade Hotel Fremantle) I/we would like to register for Day 1 & 2 Thursday & Friday 24th & 25th May 2012 'Positive Schools Conference' (early bird rate $550.00 Ex Gst). (No spilt tickets)

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Brisbane

(Brisbane Convention Centre) I/we would like to register for Day 1 Thursday 7th June 2012 MASTERCLASS 'EYES WISE OPEN' part of the Positive Schools Conference hosted by Sandra Sulley (early bird rate $285.00 Ex Gst).

(Brisbane Convention Centre) I/we would like to register for Day 2 Friday 8th June 2012 'Positive Schools main day' (early bird rate $285.00 Ex Gst).

(Brisbane Convention Centre) I/we would like to register for Day 1 & 2 Thursday & Friday 7th & 8th June 2012 'Positive Schools Conference' (early bird rate $550.00 Ex Gst). (No spilt tickets)

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Victoria

(Melbourne Convention Centre) I/we would like to register for Day 1 Thursday 14th June 2012 MASTERCLASS 'EYES WISE OPEN' part of the Positive Schools Conference hosted by Sandra Sulley (early bird rate $285.00 Ex Gst).

(Melbourne Convention Centre) I/we would like to register for Day 2 Friday 15th June 2012 'Positive Schools main day' (early bird rate $285.00 Ex Gst).

(Melbourne Convention Centre) I/we would like to register for Day 1 & 2 Thursday & Friday 14th & 15th June 2012 'Positive Schools Conference' (early bird rate $550.00 Ex Gst). (No spilt tickets)

Sub Total

GST ( Please add 10%)

Total

A.B.N. 58 762 380 602

Please click HERE for terms and conditions

Thanks you for your registration. We will contact you within 24hours to confirm your registration.

Alternatively please click HERE to download a registration form