To make a booking request for one or more of my secondary school storytelling performances please fill in & send the form below.
		Your Name (and position if approp.):
		School:
		Address:
		Telephone:
		Email:
		Requested Bookings
				Date	No.of Sessions	Time	Year level	Venue	Preferred show
		Request 1							Bringing Stories Alive Outback Stories Speech&Drama Other
		Request 2							Bringing Stories Alive Outback Stories Speech&Drama Other
		Request 3							Bringing Stories Alive Outback Stories Speech&Drama Other
		Request 4							Bringing Stories Alive Outback Stories Speech&Drama Other
		Further information or requests
		Would you like to be included in regular mailouts of information about storytelling?				Yes	No
		I will treat all information confidentially and will use it only for the purpose of supplying you with more storytelling information as requested.

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	Daryll Bellingham, Storyteller P.O. Box 5300, West End, Q4101,  Brisbane, Australia Tel. 61 (0)7 3846 3135 Mob. 0417 478408 Email. dbelling@optusnet.com.au    All contents copyright (C) 2001, Daryll Bellingham. All rights reserved. Revised: 4th August,2001 URL of this page: http://members.optusnet.com.au/~dbelling/edperbkgs.html