Membership Form

QISEO - Queensland Institute of Senior Education Officers Inc

TAX INVOICE	ABN: 91 532 424 304
MEMBERSHIP DETAILS

NAME:

POSITION:

WORK ADDRESS:

WORK TELEPHONE:

WORK FAX:

EMAIL:

HOME ADDRESS:

HOME TELEPHONE:

_______________________________________________

ADDRESS FOR CORRESPONDENCE: ( ) Tick preference	Home Work
MEMBER: ( ) Tick appropriate box	New Continuing

PLEASE RETURN WITH $50.00 MEMBERSHIP DUES (GST inclusive) FOR 2000 TO:

LYN RUSHBY
Learning and Development Foundation
Education Queensland
PO Box 33
BRISBANE ALBERT STREET Q 4002

Phone (07) 3222 2838
Fax (07) 3237 1338

Eligibility of Membership

SES, Senior Officers, Banded, AO8, AO7 or equivalent officers within the Portfolio of the Queensland Minister of Education, are eligible for QISEO membership.

Date of issue: 1 January 2000

MEMBERSHIP DETAILS