ENROLMENT FORM for Introduction to SAS or SPSS, Autumn 2010

Name of Attendee:

Contact Address:

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I enclose cash or a cheque for $66, made payable to "University of Wollongong"

OR

I authorise the payment of $60 from account number

_ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ 6610

to the Statistical Consulting Service's account 228 42 1001 6610.

Authorising Signature: _________________________________

Name of signatory (printed): __________________________________

Unit: ______________________________________________________