Request edit access
Contact information
Regency Park Online Event 
Please fill out your details below. You will be admitted to the Facebook group once you've paid your $40 fee and purchased your stamp set or bundle via my online store.

Payment can be made via Bank Transfer to the following account:
Account Name: Anna E Wheaton
BSB: 514-179
Bank: RACQ
Account Number: 1121442

Name *
Email *
Postal Address (where you want your kit mailed to) *
Phone number
Are you a demonstrator in my Lorikeet Stampers team?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms