A certificate of attendance can be emailed to you at your request after the conference

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)

Institution

Address

State

Country

Email

Telephone

Fax

Order number (if applicable)

I/we would like to register for "A day with Jane Elliott" 20th of May 2010 held at the Esplanade Hotel in historic Fremantle ($285.00 Ex Gst)

I/we would like to register for the Positive Schools 2010 conference 21st May 2010 ($310.00 Ex Gst early Bird Rate)

I/we would like to register for BOTH events being held on the 20th and the 21st of May 2010 at the early bird special rate of $550.00 Ex Gst

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