Science ASSIST Subscription Form

Australian Schools
Name
School name *
Address
School address *

Street Address

Street Address Line 2

Suburb/Town State / Territory

Postcode
State or Territory
Please enter your Australian jurisdiction. If this doesn't apply, choose 'Other'. *

Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia Other
Region category
Please choose your region category from the list shown on this Australian Bureau of Statistics web page

Major city of Australia Inner Regional Australia Outer Regional Australia Remote Australia Not Sure
Australian Bureau of Statistics web page
Institution sector
Please choose the closest appropriate category from the available list. *

Government School Catholic School Independent School Other Institution
Institution year levels
Please indicate their age range (e.g., K–6, K–12, 7–10, etc.) *
Staff usage
How many staff in your school are likely to use the Science ASSIST service? *

It’s just me 2-5 6-10 >10
School accounts contact details

Please enter the name, phone number and email address of the person in your institution responsible for financial accounts.
Name *
Phone Number *
Example for a mobile number : 04 1234 5678
Email *
example@example.com
Science ASSIST website contact

Please enter the name, email address, phone number and role of the person in your institution best suited to act as a contact for website access. This email address will be the one used to set up subscriptions and for responses to any questions asked. Please include the area code for landlines.
Name *
Phone Number *
Example for a mobile number : 04 1234 5678
Email *
example@example.com
Role *
Payment Options
Select only one *

I will pay online
To pay for an item online you need to add the item to the shopping cart. Once an item is successfully added to the shopping cart you will see it appear in the shopping cart icon on the top right hand side of the screen. To finalise the payment you will need to go to the shopping cart by clicking on the shopping cart icon, enter relevant payment details and submit. I need an invoice to pay
Please have Purchase Orders mailed to accounts@asta.edu.au
Australian Science Teachers Association | ABN: 87 902 882 824
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Australian Schools

Name

Address

State or Territory

Region category

Institution sector

Institution year levels

Staff usage

School accounts contact details

Science ASSIST website contact

Payment Options