
Form for new/additional entries to the RegisterCOLLECTOR(S): ____________________________________________________________________________ NAME/TITLE OF COLLECTION(S): ______________________________________________________________ __________________________________________________________________________________________ PLACE(S) COLLECTION(S) MADE: ___________________________________________________________ DATE(S) COLLECTION(S) MADE: ___________________________________________________________ DESCRIPTION OF COLLECTION(S) : _______________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ PUBLICATION: _______________________________________________________________________________ ___________________________________________________________________________________________ LOCATION(S): _______________________________________________________________________________ ___________________________________________________________________________________________ ACCESS: __________________________________________________________________________________ ___________________________________________________________________________________________ CONTACT(S): ______________________________________________________________________________ ___________________________________________________________________________________________ Please copy and e-mail to: g.seal@exchange.curtin.edu.au
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