2021 Term 3 ICT Professional Learning
TAX INVOICE and APPLICATION FORM
ABN 29 370 901 218
THIS EVENT IS FREE FOR JLTAV MEMBERS
JLTAV Non-member: $20.00 for six sessions
The amount includes GST

Account Name: JLTAV Inc.  
BSB 033 034  Account Number 61 1599
IMPORTANT: If you are sending money from your personal account, please write the name of your school in the reference section of Net-banking form.

Payment through PayPal:
Pay to jltav@jltav.org.au using PayPal. Put your name in the reference section.

IMPORTANT: PLEASE READ
• When pressing ‘submit’ on this form teachers are committing to attending the event and paying the registration fee to the JLTAV Office
• The JLTAV reserve the right to charge teachers for registering online to attend events and then failing to pay the registration fee
• Failure to pay the registration fee three weeks prior to the event may mean a teacher’s registration for the event is cancelled
• Please refer to the JLTAV Refund and Cancellation Policy below

JLTAV Refund and Cancellation Policy
An administration fee may be charged according to the following scale:
• Cancellations occurring three weeks before the date of the event will receive a refund minus a 20% administration fee
• Non-attendance or cancellations after this date will not be refunded due to confirmed charges for catering and venue hire

Any inquiries about this Professional Learning Day, please contact Kathleen Duquemin: kathleen.duquemin@education.vic.gov.au

The JLTAV ICT Professional Learning is supported by the Victorian Government.
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Email *
Registration fee *
School sector *
School location *
Year Levels Taught *
Title *
Name *
School name *
School street address *
School suburb and postcode *
School or mobile telephone number *
IMPORTANT: Please print this page and use as a TAX INVOICE to organise the payment from your school
**Your registration will not be processed until payment has been received**
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