National Week of Deaf People 2012

NATIONAL WEEK OF DEAF PEOPLE 2012

20th–26 October 2012

EVENT REGISTRATION FORM

EVENT ORGANISER DETAILS
Event Organiser’s Name
Position
Organisation
Address
Phone – TTY
Phone - Voice
Mobile (SMS)
Fax
Email
Website
Date / 
Sat 20th Oct / 
Sun 21st Oct / 
Mon 22nd Oct / 
Tue 23rd Oct / 
Wed 24th Oct / 
Thu 25th Oct / 
Fri 26th Oct
Have you notified your state branch of Deaf Australia? / Yes  / No 
Have you included statements and/or transcripts for verbal promotions? / Yes  / No 
ENTRIES CLOSE FRIDAY 14thSeptember 2012
OFFICE USE ONLY
Date received / Flyer converted into PDF
Event compliant to TOR? / Yes 
No  / Event Details to Webmaster
State branch Notified / Posted on website events page
Event Registration approval sent to event organiser / Flyer posted on website events page
EVENT DETAILS
Event 1
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 2
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 3
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 4
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 5
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 6
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event7
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 
Event 8
Event Date
Event Title
Time Event Starts / Time Event finishes
Venue Address
Describe the Event (30 words max)
Flyer Attached? / Yes  / No 

Completed forms are to be sent to your state branch by 14th September 2012:

Deaf Australia (NSW) Inc.
Post to: PO Box 1060, Parramatta NSW 2124
E-mail: / Queensland Association of the Deaf
Post to:PO Box 1083, Stafford Qld 4053
E-mail:
Deaf Australia (SA) Inc.
Post to: PO Box 89, North Adelaide SA 5006
Fax: (08) 8207 8549
Voice phone: (08) 8207 8802
E-mail: / Deaf Victoria Inc.
Post to:Ground Floor, 340 Albert Street, East Melbourne
TTY: (03) 9473 1145
Voice phone: (03) 9473 1145
E-mail:
Western Australian Association of the Deaf Inc.
Post to:PO Box 8558, Perth BC WA 6849
TTY: (08) 9441 2655 (Patricia Levitzke-Gray)
Fax: (08) 9441 2616 (Attention: Patricia Levitzke-Gray)
E-mail: / ACT, NT and TAS:
Send forms to Deaf Australia by 14th September 2012 – see details below.

State branches are to forward approved event registration forms to Deaf Australia by 28th September 2012:

Post to:Deaf Australia Inc

PO Box 1083, Stafford. QLD 4053

Email:

Fax to:07 3357 8377

Deaf Australia Inc

National Week of Deaf People Event Registration Form 2012