Phantom Billstickers National Poetry Day Registration Form 2019
Kia ora and welcome!

This is where you register your interest in managing an event, and apply for seed funding, for our 2019 nationwide celebration of poetry. To make registration simple, we no longer require your full event blurbs at this stage. Just fill in the basic details below to give us an idea of the event you have in mind. Be brief, but make it as clear as you can - your funding may depend on your description!

PLEASE KEEP YOUR RECEIPT EMAIL!
This allows you to add your blurb, and make any edits later in the year. We will add new sections to this form after registration.

******* RETURNING 2018 ORGANISERS ********
If you're applying for funding, we want to make things easier for you. If your bank account and contact details are unchanged from 2018, we only need your 2019 event title and basic description.

******* NEW ORGANISERS/THOSE RETURNING FROM A BREAK *******
You may find it helpful to read the Guidelines Pack (http://www.nzbookawards.nz/national-poetry-day/how-to-execute-your-event/). If you prefer, you can fill in the Registration Form Template as a word document first (you'll find the template here: http://www.nzbookawards.nz/national-poetry-day/how-to-register-your-event/), then just copy and paste your answers into this online form.

REMEMBER: Register online by 5pm, Wednesday 22 May 2019.

Email address *
Region *
Your answer
Organisation name *
Your answer
Contact person *
Your answer
Address (NB: If you participated in NPD 2018, please skip to Q6 unless contact details have changed.)
Your answer
Phone number(s)
Your answer
Title of each event/activity *
Your answer
Brief description of each event/activity - what do you want to do? (NB: If you already have your blurb ready, fantastic - please paste it here.) *
Your answer
Each event date/start time/end time. (Events should be scheduled for National Poetry Day, Friday 23 August 2019, or align with the calendar launch dates. Events not scheduled for the actual day must still have some connection to it.) *
Your answer
Event address *
Your answer
Entry cost *
Target audience
Your answer
Anticipated attendance
Your answer
Promotions plan (e.g. social media, YouTube, flyers, local media, radio etc.)
Your answer
Are you applying for seed-funding? *
Total amount of seed-funding sought [up to $250]
Your answer
Proposed budget. (List your expenses and note what items you are requesting seed-funding for. Eligible items include: poet fees, prizes, special equipment, venue hire, promotional costs and occasionally refreshments. Administration time and alcohol expenses are not eligible for seed-funding. If you have other sponsorship arranged, list this too. We encourage event coordinators to seek additional sponsorship from other community partners.)
Your answer
Is this event contingent on receiving seed-funding? (Your response to this question will not affect the decision of the seed-funding panel.)
Are you GST registered?
What bank account would you like seed-funding to be paid into, should your application be successful? Please provide bank name, account name, and account number in the following format 1234-1234567-123. (If you received funding in 2018 and account details are unchanged, please skip to the declaration.)
Your answer
DECLARATION: I / We agree to adhere to the guidelines and reporting requirements. Tick to indicate you agree to each of the following points. *
Required
Name
Your answer
Date
MM
/
DD
/
YYYY
******* Thank you and welcome to the NPD team! *******
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