ANZSWWER Symposium - 29th-30th September 2016
National Field Education Network - 28th of September 2016
James Cook University, Townsville, Australia
Advancing our critical edge in
socialwelfare education, research and practice
Registration Form
ABN: 63 942 912 684 ANZSWWER is not registered to charge GST
Contact Details
Full Name: / Date:First / Last / Title
Postal Address:
Street Address
City / State / Postcode
Phone: / E-mail Address:
University/Organisation: / Position:
Dietary Requirements:
Other Special Requirements:
National Field Education Network Attendance
National Field Education Network28th Sept, 2016 / $50
Symposium Attendance
I am an/a… / ANZSWWER Member / Non-ANZSWWER Member / StudentPlease select just one of the following options.
Full Symposium
29th-30th Sept, 2016 / $300 (full rate)
$270 (early bird, register by 30th June 2016) / $330 (full rate)
$300 (early bird, register
by 30th June 2016) / $100
Half Symposium
29th Sept, 2016 Only
30th Sept, 2016 Only
/ $170 / $180 / $50
Dinner $60 (29th September, 2016)
Payment Details
TOTAL DUE $EFT
MasterCard ^Please note that credit card payments will attract an additional 5% processing fee.
Visa ^Please note that credit card payments will attract an additional 5% processing fee.
EFT Details:
Name your EFT transaction by your Surname + Initial then Symposium (e.g. Smith J Symposium)
Australian Association for Social Work and Welfare Education
BSB: 012-030
Acct no. 4028-16475
Branch Name: ANZ Bank, Broadway (Sydney)
Credit Card Details:
Cardholders Name:
Card Number:
Expiry Date: / CSV:
Please send all registrations and enquiries to: