Chapman Valley Primary School P&C

2021 Chapman Valley Community Directory

Closing 31 July 2021

ALREADY BEEN IN A DIRECTORY?
If you have already been in the directory before you will have received an email 15 July asking you to check your details.

SPOKE WITH BREYLEY LAST YEAR?
You will have received an email 15 July asking you to check your details.

NEW 👇👇👇
Please fill in the form below! Thankyou!

We are aiming for a long awaited release at the Valley Show 2021 - look out for the CV School Tent.
Any dramas - get in touch at cvcdirectory@gmail.com - Thankyou!

All proceeds go directly to our local P&C's and will do great things for our schools!
Printing proudly supported by the Shire of Chapman Valley.

* indicates required

First Name(s)

Last Name(s) - surname options at the end

2 surnames? choose how to display them at the end of the form

Email Address 1 - Name eg. Jane *

This is the name of the person who uses the email address you enter next

Email Address 1 (please list your email here) *

This needs to be your email address as you will be sent an automatic email to confirm these changes

Email Address 2 - Name (eg Fred)

Email Address 2

Business or Property Name (if applicable)

Postal Address

Landline 1 Name (eg Home)

Landline 1 Number - no spaces eg. 99xxxxxx

just enter the number - 99###### - no spaces

Landline 2 Name (eg workshop)

Landline 2 Number

just enter the number - 99###### - no spaces

UHF Channel

Mobile 1 Name (eg Fred)

Mobile Number 1 - no spaces & no zero 4xxxxxxxxx

don't worry about the first zero going missing! Just enter the number starting with 4 and no spaces

Mobile 2 Name (eg Wilma)

Mobile Number 2

don't worry about the first zero going missing! Just enter the number starting with 4 and no spaces

Phone 3 Name (eg Workman's House)

Phone 3 Number

Phone 4 Name (eg. Workman's Mobile)

Phone 4 Number

Phone 5 Name (eg. Workman 2)

Phone 5 Number

Phone 6 Name (eg Geraldton House)

Phone 6 Number

Other information to be published

if you still don't have enough room, please submit the form anyway and email cvcdirectory@gmail.com with your additions

Two Surnames? How would you like them displayed?

eg. “BLOGGS | Joe & Jane Johnson” and “JOHNSON | Jane & Joe Bloggs – see BLOGGS”
eg. “BLOGGS / JOHNSON | Joe & Jane” and “JOHNSON / BLOGGS | Jane & Joe – see BLOGGS / JOHNSON”
two separate listings - please revise form and enter two forms - one for each person
other – please list in ‘Other information to be published’ field.