Student Booking Form (96 KB pdf) - Bendigo Art Gallery

Modern Love:
Fashion visionaries from the FIDM Museum, LA
26 October 2013 – 2 February 2014
Student Booking Request Form
PLEASE RETURN THE BOOKING REQUEST FORM BY:
FAX 03 5443 6586 ATTENTION Margot Feast or Helen Attrill
POST Bendigo Art Gallery, 42 View Street Bendigo, 3550
EMAIL
m.feast@bendigo.vic.gov.au or h.attrill@bendigo.vic.gov.au
PHONE Margot 03 5434 6080 Helen 03 5434 6082
SCHOOL DETAILS
School / TAFE / University
______________________________________________________________________
Department
______________________________________________________________________
School address
______________________________________________________________________
School phone
Fax
_______________________________________________________________________
Teacher’s name
_______________________________________________________________________
Teacher’s email
______________________________________________________________________
Teacher’s mobile
______________________________________________________________________
YOUR VISIT: Costs and Educational Presentations
Student admission fees:
Secondary $10
Member secondary $6
Primary $5
Member primary $3
Adult /tertiary student $16 Member adult/ tertiary student $12
School Membership form:
http://www.bendigoartgallery.com.au/Files/EducationMembershipForm.pdf
Presentations
Prior to viewing the exhibition your students are welcome to participate in an introductory
presentation (free with exhibition ticket). These presentations are approximately 30 minutes in
duration and are available throughout the exhibition. After the session has concluded teachers
are responsible for touring students through the exhibition.
Self-guided visit only
Introductory presentation and self- guided visit

Attendees
Accompanying teachers and carers free (maximum 2 per group of 30 students).
Student year level/s: ____________ Subject/s: ________________________
Student numbers: ______________ Teacher/carer numbers:__________
Date
Please provide two alternative dates in case your first preference is not available
Option 1 ________________________________________________________
Option 2 ________________________________________________________
Time
Please provide two alternative times. If you select to have an introductory session the time
(below) will be for this session. After your session has concluded students can enter the
exhibition.
Option 1 _________________________________________________________
Option 2 _________________________________________________________
Payment Options
2013 Bendigo Art Gallery School Members Yes No
Invoice option
If invoice is requested this will be generated according to actual number of students
on the day of visit
Invoice Yes No
Name to address invoice to _____________________________________________________
School Purchase Order Number ________________________________________
Payment on Day
Credit card Cheque Cash
Note:
• Please make one booking per form
• Your booking will be confirmed via return email
• Invoices for visits will be sent via post
BENDIGO ART GALLERY, 42 VIEW STREET BENDIGO T 03 5434 6088 BENDIGOARTGALLERY.COM.AU