Registration form

Registration

Please complete all fields in this registration form.
If you need to ask questions before registering, ask them under comments. Please include your name and email address so that I can reply.

Register Comments
You may choose a username and password. If you do not enter them you will be assigned a username and password.
Name:

Address:

Username:

Password:

Confirm Password:

E-Mail:

School:

I wish to pay by cheque
I wish to pay by credit card
Please indicate which method of payment you wish to use.

Register Comments	You may choose a username and password. If you do not enter them you will be assigned a username and password.
Name:
Address:
Username:
Password:
Confirm Password:
E-Mail:
School:
I wish to pay by cheque I wish to pay by credit card	Please indicate which method of payment you wish to use.

Comments:

Once you have completed and sent this form you need to make a payment of $55-00 (incl. GST) to complete registration for 2002. This gives you unlimited access until the end of 2002. Details of payment options will be appear after you have sent this form. You will receive confirmation of your registration by email upon receipt of payment.
Please note that not all units are available immediately. The times for release of each unit are outlined on the easyscience page under 'calendar'.

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