Global Heart Tours Language Connection 2011

Saturday 16th April 2011

Registration Form

brought to you by Global Heart Tours and the University of Melbourne Faculty of Arts
Name:
Email Address:
Mobile Phone:
Country of Origin: Australia
China
Indonesia
Japan
Korea
Malaysia
New Zealand
Singapore
United Kingdom
United States
Other (please specify in next box)
Other country of origin:
What is your first language (mother tongue)? Cantonese
English
Indonesian
Japanese
Korean
Malay
Mandarin
Other (please specify in next box)
Other first language:
What language are you learning at the moment? English
Japanese
Korean
Mandarin
How long have you been learning this language? Less than one year
1-2 years
2-3 years
3-8 years
8+ years
How would you rank your conversation level in this language? 1 - very poor
2 - poor
3 - average
4 - above average
5 - excellent

Ticket price is $20 to paid in cash on the day of the conference.

Please note that prepaid tickets and student concenssions are no longer available.
Who referred you to our conference (optional)?
Please briefly introduce yourself and tell us why you would
like to attend the conference. (50-100 words).

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