Staff Registration for ECU South West 2010 Graduation Ceremony


Please fill in the form below to register your attendance for the ECU South West Graduation Ceremony.
Staff guest tickets for Ceremony 5 will be distributed on Friday, 9 April 2010, via internal mail or Australia Post.
The Stage Party plan will be emailed to staff (who have selected to process) in the fortnight prior to the ceremony.

Your Details

Title:

*

First Name:

*

Surname:

*

Email Address:

*

Telephone Number:

*

Academic Level/Positon:

*

Ceremony Details

Ceremony 5 ECU South West Saturday, 17 April 2010 Ceremony Time 3pm

 

Do you wish to process as part of the Stage Party: (Applicable to Academic Staff Only)

 

How many extra guest tickets do you require?


Postal Address for Tickets

 

Please enter your University office location. If you will be away from the office during this time, then please ensure you provide your home address below.

 

Building & Room Number:
(or Home Street Address)

*

School or Department:
(or Home Suburb)

*

Campus:
(or Home Postcode)

*

Further Information you wish to provide

* Required Information



Corporate Events Office
Nicki Valentine
Events Officer
Telephone: (61 8) 6304 2413 		Nicola Roszak
Project Coordinator
Telephone: (61 8) 6304 2050