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NSS 2010 Registration form

Please enter all the details in the given form.

*Required fields

^ Mandatory fields published in Participating Organisation list at http://www.alia.org.au/storytime/participants.html

Your details
*First name
*Last name
*E-mail address
*Phone number
*Number of likely participants
*^Organisation's name
*^Organisation's address
*Postcode
*State
*How many branches
*Is your organisation an ALIA member?	yes no
Additional information
Help make National Simultaneous Storytime even better! We'd like some extra information from NSS participants - to help us plan bigger, better storytimes in future. Responses are entirely optional.
What type of organisation are you?	Public library School Pre-school Childcare centre Other [please specify]
How did you hear about NSS?	ALIA website inCite ALIAnet e-list Other [please specify]
What is the age range [youngest-oldest] of your 2010 participants?
Did you participate in NSS in 2009?	yes no
...in 2008?	yes no
...in 2007?	yes no
Submit your completed form

Thank you