" Tap into the power of professional recognition " .................................... ABN 79 794 493 065
TEACHER REGISTRATION FORM - TAX INVOICE -
Please note:
Only teachers / performers who hold a Degree, Diploma or Certificate in Music or Speech issued by a University or Tertiary Institution, are eligible to register for listing with the Australian Directory of Music & Speech Teachers - minimum qualification level is Associate Diploma ( i.e. A.T.C.L. , AT.Mus.A. , A.D.M.T. etc) for each instrument teachers wish to list with the Directory. Please include my professional details on the www.musicteachers.com.au website -
Name : _____________________________Instrument/s_____________________________
Address ______________________________________________Postcode_____________
Phone____________________ Fax _________________________
Qualifications_________________________________________________________________
____________________________________________________________________________
Signature / Date_______________________ Email_________________________________
Please enclose signed photocopies of the qualifications that you wish to have listed -
Three Registration Options for 2005 / 2006 : ( please tick )
— $88.00 incl. GST - Standard Listing of professional qualifications and Contact Details*.
— $110.00 incl. GST - BOLD Listing of professional qualifications and Contact Details*.
— $148.00 incl. GST - VIP Teacher Listing – your listing linked to your own webpage at www.musicteachers.com.au displaying details of your professional profile (200 words max.) and photo (optional). Following registration please forward your profile and a standard size colour or B&W print.
* Please note : contact details include the teacher’s suburb and contact phone number – for privacy reasons addresses are not listed.
PAYMENT DETAILS – I enclose payment for 2005 / 2006 Registration with the Directory please Charge my BANKCARD / VISA / MASTERCARD
No. _____________________________________________________________
Expiry Date : ____/____ Signature ____________________________________
Contribution to www.musicteachers.com.au advertising budget - Registered Teachers also agree to remit to the Australian Directory of Music & Speech Teachers an amount equivalent to the first lesson fee of any student who commences lessons as a result of a contact made through www.musicteachers.com.au (payment due within 14 days of the student starting lessons) - Note: failure to honour this obligation may result in a teacher's registration being cancelled and forfeiture of the annual registration fee. The submission of this application form signifies the applicant's agreement to this arrangement.
Please forward your application to :
Australian Directory of Music & Speech Teachers
P.O. Box 101, Croydon NSW 2132