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.):
Requested Bookings
Date No.of Sessions Time Year level Venue Preferred show
Request 1
Request 2
Request 3
Request 4
Further information or requests
Would you like to be included in regular mailouts of information about storytelling? Yes
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
All contents copyright (C) 2001, Daryll Bellingham. All rights reserved.
Last update: 26th August, 2003.
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