Thank you for contributing to The NASS Register.


  The fields Country, State/Prov., City, and Location are
  required for all submissions.


  If this is a dial that is not currently in the Register, please
  fill out as many fields as you can. If this is an update to a dial
  already in the Register, please be sure to fill out the Number
  field in addition to your new information.


  [ ] This is a dial that is not currently in the Register

  [ ] This is an update to dial number [    ]


  Country:_________ State/Prov.:__________City:_____________________________________


  Location: Please be specific._____________________________________________________


  __________________________________________________________________________________


  __________________________________________________________________________________


  Type:_____________________________________________________________________________


  Materials:________________________________________________________________________


  Owner:____________________________________________________________________________


  Access: Public [ ] Private [ ] If private, please give access
  details:


  ____________________________________________________________________________


  ____________________________________________________________________________


  Condition:__________________________________________________________________


  Designer:___________________________________________________________________


  Builder:____________________________________________________________________


  Date:____________________________


  Dimensions:______________________________________


  Latitude:____________N.  Longitude:____________W.


  Furniture: (extra indications - declination etc.) __________________________


  ____________________________________________________________________________


  Inscription, if any:________________________________________________________


  ____________________________________________________________________________


  References in dial literature, if any:______________________________________


  ____________________________________________________________________________


  Remarks:____________________________________________________________________


  ____________________________________________________________________________


  ____________________________________________________________________________


  Check here [  ] if you have photograph(s). 
  (If submitting by mail, please include.)
  


  Your e-mail address:________________________________________________________


  Your name: (Required)_______________________________________________________


  Your postal address:


  _______________________________________

  
  _______________________________________


  _______________________________________




  This form is useful for taking notes in the field. 
  Submissions are preferred on-line at: 
  http://sundials.org (Click on the Register).
  
  Please inclose photos or extra material and mail to:


  Larry McDavid
  185 South Alice Way
  Anaheim, CA 92806-4032
  Email: nass_registrar@sundials.org