Fr John Wall Community Library New Customer Registration Form

New User Details:

Please fill and submit this form if you would like to become a member of the Library (open to Tasmanian residents 18 + only). Information is collected in line with the Catholic Education Commission Tasmania Privacy Policy which is available from the Catholic Education Tasmania website (catholic.tas.edu.au).
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
School (and Position) OR Parish/Community Connection*
(e.g. Yr 1 Teacher Corpus Christi Catholic School, or Parishioner, Bellerive-Lindisfarne Parish, etc.)
Should be Empty:

New User Details: