Story Form

Please fill in the below form if you or someone you know would like to share a story about how the Government’s funding decisions have impacted you and your whānau.

Name

First Name

Last Name

Please give us a brief overview of your story (optional)

I wish to discuss the publishing of my story with a member of Disability Leadership Canterbury first

Yes

I undersand that by completing this form, I am giving my permission to be contacted by Great Scott Communications to tell my story

Story Form

Disability Leadership Canterbury

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