Becoming a Forum Member

Application form to become a forum member

Complete the following form below.

    If Yes, please provide GST number

    Please provide details given below

    How many paid staff do you have:









    What is the name of the person that will represent your organisation at these meetings?


    wishes to become a member of the Western Bay of Plenty Disability Support Trust.

    The above information may be shared with other existing forum group members.

    Please attach any other relevant information and return your completed form to the Coordinator at WBoP Disability Support Trust, P O Box 15466, Tauranga 3144
    or email coordinator.wbop.dst@gmail.com

    (Relevant information could be for example, a copy of your strategic plan, business plan and annual accounts/auditors report).
    Thank you for your interest in joining the forum.