NATLA Registration Form 2011
Please complete and include with your registration fee of $25
If posting: NATLA Treasurer, PO Box 24, Adamstown 2289
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Name
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Address |
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Telephone (home) |
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Telephone (work) |
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Email
(for receiving listserve emails) |
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School 1
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School 2
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Available for Casual Work?
Indicate Days
Registered with? |
YES NO
MON TUES WED THUR FRI
DET CSO |
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OFFICE USE ONLY |
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Date Received |
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Receipt Number |
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Listserve added |
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