N.A.T.L.A. Registration Form

Please complete and mail with your registration fee of $25 to

 NATLA Treasurer

P.O. Box 24

Adamstown 2289

If you would like a receipt sent to you please enclose a stamped address envelope with your fee.

Name: __________________________________ Phone: ____________________________

Home Address: _____________________________________________

_____________________________________________Postcode________

Email : ____________________________________________________________

School#1 ____________________________________ Days M T W T F

Phone: _______________________ Fax: ______________________

School#2 ____________________________________ Days M T W T F

Phone: _______________________ Fax: ______________________

Casual Work

Do you wish to be placed on the list of casuals available for Library work? Yes/No

If yes, what days are you available? M T W T F

OFFICE USE ONLY

Registration Paid_____________________________

Receipt Number_______________________________