This website is not secure & applications should be printed out and mailed to PTC address.
Send the printed page along with your cheque or money order to
ATESOL NSW
PO Box 223 Leichardt
NSW 2040 AUSTRALIA
If you are paying by Credit Card please be sure to include all the necessary card details.
Membership Form
First Name
Last Name
Address
City
State
Zip/Postal Code
Country
Phone
Fax
Email
How did you find out about us?
Details
Employing Authority
NSW DET
Catholic Education Office
AMES
TAFE NSW
University
ELICOS
ACE
Other
Special Interest Group
Infants / Primary
Secondary
Adult
Teaching English to deaf students
Other
Annual membership
Cost AUD$
(All prices within Australia include GST)
Individual
$75
Student/Unemployed
$40
Overseas individual
$105
Institutions/Corporations
$195
(Institutions recieve two copies of each newsletter and access
for three teachers to conferences at member rates)
Institutions overseas
$220
Please select your payment method
Cheque I enclose a cheque for $ made payable to ATESOL (NSW) Inc.
Credit Card
Visa
Mastercard
Bankcard
One Card is required
Card No.
Exp. Date
(mm/yy)
Name on Card
Your Signature
Please print this form once you have filled in all the necessary fields and send it to the address above. Thank you.
