ÿþ <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/tr/html4/loose.dtd"> <html lang="en-nz"> <head> <title>Community Directory Submission Form</title> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <meta name="DC.Title" content="Community Directory"> <meta name="Keywords" content="community directory, services, public, clubs, organisations"> <meta name="Description" content="Listings of organisations in the New Plymouth District"> <meta name="DC.Description" content="Listings of organisations in the New Plymouth District"> <meta name="DC.Language" content="en" scheme="RFC3066"> <meta name="Robots" content="follow, index"> <meta name="DC.Subject" content="Children, Community Development, Customers, Families, Maori, Official information, Older people, Rates, Youth"> <meta name="NZGLS.Function" content="Encouraging participation in the community, Providing protective care for the vulnerable, Providing public health services, 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href="/LivinginNewPlymouth/default/" class="">Rates</a></li> <li><a href="/LivinginNewPlymouth/TangataWhenua/" class="">Tangata Whenua</a></li> <li><a href="/LivinginNewPlymouth/Youth/" class="">Youth</a></li> </ul> <li class=""><a href="/HaveYourSay/" class="">Have Your Say</a></li> <li class=""><a href="/VisitingNewPlymouth/" class="">Visiting New Plymouth</a></li> </ul> <!--EndNoIndex--> <div class="menuinfo"> </div> </div> <div id="pagecontent"> <h2> Community Directory<br>Submission Form </h2> <p>Please complete the form below to submit your club, organisation or activity provider to the Taranaki Community Directory.</p> <div class="liner">&nbsp;</div> <form action='/forms/mailer.asp' method='post'> <p> <b> All fields marked with an asterisk(<span class=asterisk> *</span> ) are required.</b> </p> <table border='0'> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Organisation name</font> </td> <td align='left'> <input type='hidden' name='input_1' value='form_input_1'> <input type='hidden' name='form_input_1_label' value="Organisation name"> <input class=textforminput type='text' name='form_input_1' size='30' alt="Organisation name" maxlength='250' > </td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Contact name</font> </td> <td align='left'> <input type='hidden' name='input_2' value='fullname'> <input type='hidden' name='fullname_label' value="Contact name"> <input type='hidden' name='fullname_req' value='true'> <input class=textforminput type='text' name='fullname' size='30' alt="Contact name" maxlength='250' ><small><span class="ast">*</span></small></td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Phone</font> </td> <td align='left'> <input type='hidden' name='input_3' value='form_input_2'> <input type='hidden' name='form_input_2_label' value="Phone"> <input class=textforminput type='text' name='form_input_2' size='20' alt="Phone" maxlength='250' > </td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Fax</font> </td> <td align='left'> <input type='hidden' name='input_4' value='form_input_3'> <input type='hidden' name='form_input_3_label' value="Fax"> <input class=textforminput type='text' name='form_input_3' size='20' alt="Fax" maxlength='250' > </td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Email</font> </td> <td align='left'> <input type='hidden' name='input_5' value='email'> <input type='hidden' name='email_label' value="Email"> <input type='hidden' name='email_req' value=''> <input class=textforminput type='text' name='email' size='25' alt="Email" maxlength='250' > </td> </tr> <tr> <td width='120' align='left' valign='top'> <font class=tablecells> Postal address</font> </td> <td align='left'> <input type='hidden' name='input_6' value='form_input_4'> <input type='hidden' name='form_input_4_label' value="Postal address"> <input type='hidden' name='form_input_4_req' value='true'> <textarea class=textforminput name='form_input_4' rows='5' cols='25' alt="Postal address"> </textarea><small><span class="ast">*</span></small> </td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Post Code</font> </td> <td align='left'> <input type='hidden' name='input_8' value='form_input_7'> <input type='hidden' name='form_input_7_label' value="Post Code"> <input type='hidden' name='form_input_7_req' value='true'> <input class=textforminput type='text' name='form_input_7' size='10' alt="Post Code" maxlength='250' ><small><span class="ast">*</span></small></td> </tr> <tr> <td width='120' align='left' valign='top'></td> <td class=tablecells><i><a target="_blank" href="http://www.nzpost.co.nz/Cultures/en-NZ/OnlineTools/PostCodeFinder/">Click here</a> to find your post code.</i></td> </tr> <tr> <td width='120' align='left' valign='top'> <font class=tablecells> Physical address<br> (if different)</font> </td> <td align='left'> <input type='hidden' name='input_7' value='form_input_5'> <input type='hidden' name='form_input_5_label' value="Physical address (if different)"> <textarea class=textforminput name='form_input_5' rows='5' cols='25' alt="Physical address (if different)"> </textarea> </td> </tr> <tr> <td height='30' class=tablecells width='120' align='left'> <font class=tablecells> Website</font> </td> <td align='left'> <input type='hidden' name='input_9' value='form_input_6'> <input type='hidden' name='form_input_6_label' value="Website"> <input class=textforminput type='text' name='form_input_6' size='20' alt="Website" maxlength='250' > </td> </tr> <tr> <td width='120' align='left' valign='top'> <font class=tablecells> Aim of the organisation</font> </td> <td align='left'> <input type='hidden' name='input_10' value='comments'> <input type='hidden' name='comments_label' value="Aim of the organisation"> <textarea class=textforminput name='comments' rows='5' cols='25' alt="Aim of the organisation"> </textarea> </td> </tr> </table> <br> <input type='hidden' name='mailer_subject' value="Taranaki Community Directory Submission"> <input type='hidden' name='mailer_recipient_list' value="Linda Russell,russelll^npdc.govt.nz"> <input type='hidden' name='g_mailer_hide_unanswered' value="Y"> <div class="liner">&nbsp;</div><br> <input type="image" name="Submit" src="/images/template/pg/send-btn.gif" alt="" border="0" style="height:20px;width:34px;" /> <!--<input type="submit" value="Submit">--> <a onclick="document.forms[0].reset();return false;" href="#"> <img alt="Reset form. " src="/images/template/pg/reset-btn.gif" border="0" style="height:20px;width:34px;"> </a> </div> </div> <div id="sidebar"> <!-- Additional hidden text box due to single input asp.net error with event_target submission --> <input name="RightPanel:_ctl1:Textbox1" type="text" id="RightPanel__ctl1_Textbox1" NAME="Textbox1" style="visibility:hidden;display:none;" /> <div class="searchbox"> <input name="RightPanel:_ctl1:SearchRequest" type="text" id="RightPanel__ctl1_SearchRequest" class="text" onkeydown="if ((event.which &amp;&amp; event.which == 13) || (event.keyCode &amp;&amp; event.keyCode == 13)) {document.getElementById('RightPanel__ctl1_SearchSubmit').click();return false;} else return true; " /> <input type="image" name="RightPanel:_ctl1:SearchSubmit" id="RightPanel__ctl1_SearchSubmit" class="img-btn" src="/images/template/side/go-btn.gif" alt="Go" border="0" style="height:20px;width:23px;" /> </div> <div class="wants"> <h3>I want to:</h3><span class="entire"><a id="RightPanel__ctl1_IWantToControl_ViewEntireListLink" href="/Admin/IWantTo/"><i>View Entire List</i></a></span> <ul> <li><a href="/TheCouncilAndItsPeople/CouncilPeople/MayorAndCouncillors/" pathattribute="0">Contact my councillor &raquo;</a></li> <li><a href="/LivinginNewPlymouth/default/RatesOverview.htm" pathattribute="0">Pay my rates &raquo;</a></li> <li><a href="/AtoZOfCouncilServices/GraffitiRemoval/" pathattribute="0">Report graffiti &raquo;</a></li> <li><a href="/AtoZOfCouncilServices/Animals/default.htm" pathattribute="0">Find out where I can ride my horse &raquo;</a></li> <li><a href="/LivinginNewPlymouth/TangataWhenua/Marae.htm" pathattribute="0">Contact a local marae &raquo;</a></li> <li><a href="/AtoZOfCouncilServices/Dogs/WalkingYourDog.htm" pathattribute="0">Find out where I can walk my dog &raquo;</a></li> <li><a href="/TheCouncilAndItsPeople/Meetings/HaveYourSayAtMeetings.htm" pathattribute="0">Speak at a council meeting &raquo;</a></li> <li><a href="/HaveYourSay/Consultation/CampingReview.htm" pathattribute="0">Make a submission about camping grounds &raquo;</a></li> <li><a href="/HaveYourSay/Consultation/CoastalReserves.htm" pathattribute="0">Find out about managing coastal reserves &raquo;</a></li> <li><a class="last" href="/CouncilDocuments/Plans/CoastalStrategy.htm" pathattribute="0">Read the Coastal Strategy &raquo;</a></li> </ul> </div> <div class="sideitems"> <div class="item"> <h4>AQUATIC CENTRE</h4> <a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl0_ImageLink" href="/VisitingNewPlymouth/Attractions/AquaticCentre/"><img id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl0_ItemImage" src="/NR/rdonlyres/05F924B4-6654-4A60-86A1-4425303EE51D/0/Thumb_AquaticCentrejpg_77x50_S.jpg" alt="An aerial view of the Aquatic Centre. " border="0" style="height:50px;width:77px;" /></a> <p>Find out about the Aquatic Centre and its programmes. &nbsp;<a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl0_ItemLink" href="/VisitingNewPlymouth/Attractions/AquaticCentre/">more &gt;</a></p> </div> <div class="item"> <h4>PUKEKURA PARK</h4> <a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl2_ImageLink" href="/VisitingNewPlymouth/Attractions/PukekuraPark.htm"><img id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl2_ItemImage" src="/NR/rdonlyres/557B3A64-3F05-438D-A0A5-9F4C80493D4E/0/PukekuraPark.jpg" alt="A view of Mt Taranaki from Pukekura Park. " border="0" style="height:50px;width:77px;" /></a> <p>Visit Pukekura Park today.&nbsp;<a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl2_ItemLink" href="/VisitingNewPlymouth/Attractions/PukekuraPark.htm">more &gt;</a></p> </div> <div class="item"> <h4>YOUNG ACHIEVERS' AWARDS</h4> <a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl3_ImageLink" href="/LivinginNewPlymouth/Youth/YoungAchieversAwards.htm"><img id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl3_ItemImage" src="/NR/rdonlyres/2FEBD6D8-0F66-4C44-A0BF-E7631646FD59/0/Thumb_YoungAchieversAwardWinnersjpg_77x50_S.jpg" alt="The 2005 Young Achievers' Award winners" border="0" style="height:50px;width:77px;" /></a> <p>Find out how to nominate someone for a Young Achievers' Award.&nbsp;<a id="RightPanel__ctl1_RelatedLinksControl_LinkRepeater__ctl3_ItemLink" href="/LivinginNewPlymouth/Youth/YoungAchieversAwards.htm">more &gt;</a></p> </div> <div class="tlogo"> <a href="/TaranakiLikeNoOther.htm" pathattribute="0"> <img height="67" alt="Taranaki. Like No Other. " src="/images/content/taranaki-logo.gif" width="188" /> </a> </div> </div> </div> <div class="spacer">&nbsp;</div> </div> <!--BeginNoIndex--> <div id="footer"> <div class="footer-h3"> <h3>Contact Us</h3> </div> <div class="address"><span class="detail"> <img height="11" alt="Address Icon. " src="/NR/rdonlyres/ED7D091C-D87B-4F46-ADA9-258538969E76/0/addr.gif" width="14" /> New Plymouth District Council, Civic Centre, Liardet St</span> <span class="detail"><img height="11" alt="Postal Icon. " src="/NR/rdonlyres/DB315148-A4C3-4841-9669-36D03209FE30/0/post.gif" width="11" /> Private Bag 2025 New Plymouth New Zealand 4342</span><br /><span class="detail"><img height="11" alt="Phone Icon. " src="/NR/rdonlyres/94AD6BC6-E5DA-4D38-B06F-9A8252AE93DC/0/phon.gif" width="14" />06-759 6060 <img height="11" alt="Fax Icon. " src="/NR/rdonlyres/C4415BAE-3B13-4482-9FC3-328DD2D4BD4B/0/fax.gif" width="10" /> 06-759 6072</span> <span class="detail"><img height="11" alt="Email Icon. 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