Registration form

Centre for Developmental Disability Studies

CDDS REGISTRATION FORM

Please use block letters if sending by mail or FAX

Please mail to CDDS Registration,
PO Box 6, Ryde NSW 1680 AUSTRALIA
or
FAX - (02) 9807 7053

I am interested in registering for a CDDS training program / event.

Do not send credit card details via the internet or email. This page is not secure.
Print this page and fax or mail it. Alternatively you can phone your credit card details through to (02) 8878 0500

CDDS Registration for a training program / event

**Registration Form**
Item	Details
Program / Event:
Program / Event Title:
Registraion Details:	$ (inc GST) (CDDS Financial Member) $ (inc GST) (Non Member) (Training Programs and Events)
Organisation:
Title:	ie Mr, Ms, Dr, Prof
Last name:
First name:
Address:
Post code:
Phone:
Fax:
Email:
Credit Card Number	FAX or Mail only!! ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Exp.Date ....../......