Registration for the TSAA Awareness Week Conference 2011 Melbourne
Your Name(s)
Your Address
Your Phone
Your Email
Venue
Melbourne
Ticket Requirements:
Members $45.00
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Medical Professionals $60.00
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Non Members $55.00
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Educators $55.00
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Total Cost
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Payment Method
CHEQUE Payable to Tourette Syndrome Association of Australia Inc. Post to: P.O. Box 1173, Maroubra, NSW 2035
PAYPAL Pay via credit card online at www.tourette.org.au
DIRECT DEPOSIT St George Bank BSB 112879 Account: 033704995 Use your surname & initial as a reference & inform info@tourette.org.au of payment details.
SUBMIT
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