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| 2005 Application Form Dialogue Australasian Network |
| Join Now! |
| DAN (Australia) Dialogue Australasia Daramalan College PO Box 84 Dickson ACT 2602 |
| DAN (New Zealand) Dialogue Australasia Network P O Box 31-558 Lower Hutt New Zealand |
| Please make cheque payable to either: |
| Invoice: ABN 90 621 907 834 |
| Membership Application Form (Tax invoice ABN 90 621 907 834) Name: .. School/Institution: .. Address: Post Code:. .. Phone: Fax: . . Email: .. |
| Please note: DAN membership provides member schools with access to PD, resources on the website etc whereas subsription to the journal will only provide schools with copies of the journal. |
| DAN is registered for GST: Therefore Australian schools will have to add GST. |
| MEMBERSHIP CATEGORIES 1. $120.00 DAN Individual 1 copy twice each year 2. $120.00 DAN Institutional 1 copy twice a year 3. $190.00 DAN Institutional 3 copies twice a year 4. 240.00 DAN Institutional 10 copies twice a year 5. $35.00 Journal Subscription 1 copy twice a year 6. $75.00 Journal Subscription 3 copies twice a year 7. 120.00 Journal Subscription 6 copies twice a year 8 160.00 Journal Subscription 10 copies twice a year 9. 240.00 Journal Subscription 20 copies twice a year |
| Please identify the category from list above ________ |
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