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ORGANISATION DETAILS |
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Organisation: |
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(Organisations are to be not-for-profit) |
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Email: |
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Abbreviation: |
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Website: |
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Month
of AGM: |
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Meeting Location: |
Postal Address: |
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Location: |
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Street address: |
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Suburb: |
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Postcode: |
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CONTACT
DETAILS |
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Contact #1 |
Contact #2 |
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Name: |
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Email: |
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Phone: |
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Mobile: |
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Fax: |
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Description:
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Clients: |
eg.
seniors, youth, general public |
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Hours: |
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Fees: |
What
fees do you charge? |
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Language: |
What
languages (other than english) does your organisation assist with or use? |
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Transport: |
What
transport is available to your clients? |
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Facilities: |
What
facilities/services do you provide? |
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Area: |
Town
or area you organisation covers eg. Nambour, Sunshine Coast, Queensland |
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Access: |
What disabled persons
access/services do you have? |
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Name of
person filling out this form: |
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Contact
number of person filling out this form: |
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| I understand
that the above details are made available to the general public |
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