Support group start-up form

First Name
Last Name
Mailing Address
Email
Which area of NSW will your group service?
Have you found a venue for your meetings? If yes, where?
Why do you want to establish a group in your area?
What will the main focus of your group be?
Who will your co-leader be?

Are there any health workers in your area that would be willing to help your group? If yes, please give details eg name, organisation, position and contact number/email:

 

  
SFNSW Inc...Locked Bag 5014 Gladesville NSW 1675...ph: 02 9879 2600...fax: 02 9879 2699...Email: admin@sfnsw.org.au