Expression of interest form

I wish to enquire about our group participating in an activity with Friends of the Helmeted Honeyeater Inc:


Enquiry
Details
I represent a *
Name of group *
Contact person *
Position in group *
Daytime telephone *
Mobile
Email *
Organisation's street address *
Suburb *
State *
Postcode *
Postal address
(if different to street address)
State
(if different to street address)
I am interested in the following activities with the Friends of the Helmeted Honeyeater * Interactive presentation
Planting day
Community nursery day (adult groups only)
Date (1st preference) *
Date (2nd preference) *
Age group *
Approximate numbers *
How did you hear about us?
Additional information
    



Thank you for your enquiry about participation in the Friends of the Helmeted Honeyeater's education & planting programs. Please note our staff work part-time and are often in the field. We will return your email as soon as possible.





© Friends of the Helmeted Honeyeater Inc. 2011
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