chess rules australia student registration form

Student's First Name	*
Student's Surname	*
Student's Grade	*
Student's Age	*
School	*
Term	*
State	*
Year	*
Parent's First Name	*
Parent's Surname	*
Mobile phone	*
Home phone	*
Work phone	*
Parent's Email	*
Postal Address	* Street or PO Box address required.
Message

Credt Card Payments

Name on Card

Card Type
Credit Card No.	/ / /
Expiry Month
Expiry Year

FEES
VICTORIA
WEST AUSTRALIA
	PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START.
NB. Some schools charge for use of space to conduct classes, unfortunately CRA will require additional fees to cover this additional expense. This expense will be divided amongst number of students per class. ie. Classroom rent = $200 (per term =10 classes) 10 students = extra $2 per class per student
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Required Information - Please fill in these fields so we can contact you if necesary. PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START. WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM. CASH PAYMENTS Cash payments will not be accepted from children or teachers. Internet Cash payments (Pay Anyone) or bank cash deposits can be made by requesting the Chess Rules Australia BSB and Account No. PLEASE INDICATE THAT PAYMENT IS TO C.R.A P/L ON DEPOSIT AND INTERNET FORM PAYMENT DETAILS.* CHEQUE PAYMENTS Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque). Make payable to Chess Rules Australia Pty Ltd and send to: PO Box 292 GLEN HUNTLY VICTORIA 3163 FREECALL 1800 036 668 FOR MORE INFORMATION. Return to top of page Return to Home Page

PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START. WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM.

CASH PAYMENTS Cash payments will not be accepted from children or teachers. Internet Cash payments (Pay Anyone) or bank cash deposits can be made by requesting the Chess Rules Australia BSB and Account No. PLEASE INDICATE THAT PAYMENT IS TO C.R.A P/L ON DEPOSIT AND INTERNET FORM PAYMENT DETAILS.

CHEQUE PAYMENTS Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque). Make payable to Chess Rules Australia Pty Ltd and send to:

PO Box 292 GLEN HUNTLY VICTORIA 3163

FREECALL 1800 036 668 FOR MORE INFORMATION.

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PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START.
WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM.

CASH PAYMENTS

Cash payments will not be accepted from children or teachers.
Internet Cash payments (Pay Anyone) or bank cash deposits can be made by
requesting the Chess Rules Australia BSB and Account No.
PLEASE INDICATE THAT PAYMENT IS TO C.R.A P/L ON DEPOSIT AND INTERNET FORM PAYMENT DETAILS.

CHEQUE PAYMENTS
Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque).
Make payable to Chess Rules Australia Pty Ltd and send to:

PO Box 292
GLEN HUNTLY
VICTORIA 3163