Student Video Competition

Resistration Form

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* Is this a private entry or on behalf of an education institution?

Private Institution

* Name of Institution:

* Email Address:

* Contact Name:

* Street Address:

* Suburb/town:

* State:

New South Wales Victoria Queensland South Australia Western Australia Northern Territory Australia Capital Territory Tasmania

* Postcode:

* Best Contact Number:

Fax number:

* I understand and agree to the terms and conditions of the myfuture Student Video Competition 2009
(Terms and Conditions can be found on the competition website at www.thecrew.net.au)

Option B: Registering as an individual

*Name:

* Email Address:

Address:

* Suburb/town:

* State:

New South Wales Victoria Queensland South Australia Western Australia Northern Territory Australia Capital Territory Tasmania

* Postcode:

* Best Contact Number:

Year/Level:

* I understand and agree to the terms and conditions of the myfuture Student Video Competition 2009
(Terms and Conditions can be found on the competition website at www.thecrew.net.au)

Name of Parent/Guardian (If under 18 years of age):

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*ENTRIES MUST BE RECEIVED BY 5PM ON THE 30th September 2009


Competition website: www.thecrew.net.au

myfuture is a joint initiative of the Australian, State and Territory Governments
This project is supported by funding from the Australian Government