Autism SA - Spectrum Seminar Series Featuring Dr John Wray Workshop Registration Form

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Autism Spectrum Disorders

Strategies

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Spectrum Seminar Series Featuring Dr. John Wray Registration Form

Please complete this form very carefully

Description	Cost Per Person	Quantity (inc. GST)	Sub-total
People/Families Registered for Services with Autism SA	$44.00
Financial Members of Autism SA	$77.00
Standard Rate	$99.00
Would you like to attend the Autism SA Awards Presentation function @ $20 per person (5pm to 7pm)	$20.00
Would you like to become a Financial Member at the special joining price of $10 per annum?	Yes No

Special Requirements

Do you have any special dietary requirements
Do you require any assistance with accessibility?
Would you like to join Autism SA's free Information Email list?	Yes No

I have read and accept the terms and conditions with regard to our registration

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