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JANE BROWN PARENT SESSION - JUNE 5 2009
INFORMATION & BOOKING FORM
This session is compulsory for parents whose children attend the playshop.
This session is not appropriate for children. Please arrange alternative care for your child while you attend.
Other adults, including prospective parents, adoptive parents whose children are not attending the Playshop, teachers and extended family of your child are also invited to this session.
General Details: To assist Jane Brown with planning this session, please indicate:
ARE YOU:
PLEASE SELECT
Adoptive Parent
Prospective Adoptive Parent
Extended Family Member
Teacher
IS YOUR CHILD ATTENDING PLAYSHOP?:
Yes
No
Contact Details: Please include your first name and surname, and your partner's firstname and surname.
FULL NAME 1:
FULL NAME 2:
TEL:
MOB:
EMAIL:
How to Pay:
You can pay either by Cheque or Internet Banking.
COST PER SESSION:
ASIAC Member - $25.00
NON-ASIAC Member - $35.00
BY CHEQUE:
Please make cheque payable to 'ASIAC NSW Inc' and post to
The Treasurer,
ASIAC NSW Inc,
PO Box 546,
GLEBE 2037
BY INTERNET BANKING:
Please use Internet Banking to pay the following account
ASIAC NSW Inc.
BSB: 062-245
Account: 0090-5085
Reference: JBPARENTS/your surname eg. JBPARENTS/jsmith
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