25th - 28th SEPTEMBER 2008 at AUSTRALIAN TECHNOLOGY PARK

1) Entrants name
Entrant's First Name
Entrant's Last Name
Date of Birth(dd/mm/yyyy)
Age at 24/9/2008
Gender
Postal Address
Suburb
Postcode
E-mail address
E-mail address - confirm
Phone Number Day
Phone Number Evening
Mobile Number
Fax Number
T-Shirt size	Kids:	Adult:
T-shirt colour
First Name of person submitting entrant		As above
Last Name of person submitting entrant
Relationship to entrant

2) Photographs
Add primary head shot for programme book and photo gallery. (Maximum Size: 500kbs)
Add secondary head shot or full length body commercial print for photo gallery. (Maximum Size: 500kbs)
Add head shot or full length body commercial print for photo gallery. (Maximum Size: 500kbs)

3) Representation Information (this information will be printed in the programme book)
Are you seeking representation?:
Your current Agency Name (if applicable)

4) Choose the section(s) you wish to enter.
JUNIOR ACTOR (3 – 7 years of age)
COMMERCIAL ACTOR (8+ years of age)
SCREEN ACTOR (8+ years of age)
PRESENTER (16+ years of age)
PROFESSIONAL SCREEN ACTOR (16+ years of age)	Add Code

5) Payment Details
Standard (entries submitted 1 May 2008 – 31 July 2008)
First Section: $250
Additional Section: $200
Second additional section: $150
Late (entries submitted 1 July 2008 – 31 July 2008)
First Section: $300
Additional Section: $250
Second additional section: $250

Please confirm all your details are correct, and you have chosen the correct courses before you proceed to pay.
Total to be Paid:	$0.00

$0.00