Tax Invoice ABN 77 257 686 961

All courses require a minimum of 10 enrolments or they will be cancelled. Registration Fees will be refunded under such circumstances.

Registrations for all Semester 2 courses are due by Friday September 30th 2005.

Please print the form below and fax or mail to Robyn Barker at the Centre for Research end Education in the Arts, University of Technology Sydney, PO Box 222, Lindfield, NSW 2070, Australia. Fax +61 (0) 2 9514 5556. Cheques in Australian dollars should be made out to 'University of Technology Sydney'.

Name (Block Capitals):

Address:

Post Code:                                 

Telephone:                                       Fax:

Email:

O Payment Enclosed,  or 

Please charge my:  O Mastercard  O Visa   O Bankcard

 Card Number:                                     Expiry Date: 

Signature:                                         Date:

Name of Course:

Name of Presenter:

 Course Cost: