Basil Hooper Project Membership Form
This membership form is to help gather information for the Basil Hooper Project Group Committee. Your data will be kept confidential and will only be used for this purpose.
Last name: *
First name *
Address *
Do you own a Basil Hooper building ? If no, select Other and tell us your interest. *
Street address (If different to your own)
Phone number *
Email address *
Do you want to join the project committee or assist in another way?
(You can answer in tagalog)
Do you know of a possible sponsor for the project?
Please provide a contact name and number and we will enquire
I would like to make a donation to the Hooper's World project
Make payment to ANZ 06-0909-0420189-00
Name of property
Date of construction
Building contractor
Modifications
Historic occupancy
Current usage
Do you have any photographs or plans, historic or recent?
Email them to us if you have image files. 2mb or smaller if possible.
Do you have any stories about the building?
Any other sources of information?
Submit
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