Miinistry of Health Disability Services Forums 2013

REGISTRATION OF ATTENDANCE

This is the Registration page for the Ministry of Health Disability Services Consumer Forums 2013.

Consumers and their family members can register here or you can register by calling 0800 MOH FORUM (0800 664 367), or by email to: MOHForum@nzfdic.org.nz. You may also send your details via SMS (txt) to our mobile phone number 021 209 5716.

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* 1. Which Forum, Hui or Fono will you attend?

Whangarei Forum - Monday 18 Feb - 9.30am - 1.00pm - Kingsgate Hotel

Auckland Fono - Tuesday 19 Feb - 9.30am - 2.00pm - Waipuna Hotel

Auckland Forum - Wednesday 20 Feb - 9.30am - 1.00pm - Waipuna Hotel

Hamilton Forum - Thursday 21 Feb - 9.30am - 1.00pm - Kingsgate Hotel

Hamilton Hui - Friday 22 Feb - 9.30am - 2.00pm - Kirikiriroa Marae

Napier Forum - Monday 25 Feb - 9.30am - 1.00pm - Memorial Conference Centre

Christchurch Forum - Monday 18 Mar - 9.30am - 1.00pm - Sudima Hotel

Christchurch Hui - Tuesday 19 Mar - 9.30am - 2.30pm - Rehua Marae

Christchurch Fono - Wednesday 20 Mar - 11.00am - 3.00pm - Sudima Hotel

Dunedin Forum - Thursday 21 Mar - 9.30am - 1.00pm - Royal NZ Foundation of the Blind

Invercargill Forum - Friday 22 Mar - 9.30am - 1.00pm - Pacific Island Advisory and Cultural Trust

Wellington Forum - Monday 25 March - 9.30am - 1.00pm - Brentwood Hotel

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* 2. Do you need any of the following supports?

Sign Language Interpreter

Wheelchair Access

Hearing Loop

Water for Guide Dog

Other (please specify)

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* 3. How many people would you like to register?

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* 4. Please give the names of those attending with you.

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* 5. Please give us your contact details.

Name:

Address 1:

Address 2:

City/Town:

ZIP/Postal Code:

Email Address:

Phone Number:

Thank you for your Registration. We look forward to meeting with you.