Community Organisations Contacts Register

To enable Northern Areas Council to send current information out to all Community Organisations within our region we ask that you register all the details of any organisation you are involved in.

All you need to do is fill in the form below. Please note that all mandatory fields must be completed in order for your form to be successfully submitted.

* Mandatory Field

Community Organisations Contacts Registration Details
Please enter the name of your Organisation*
What category best describes your organisation?
If other is selected, please describe your organisation
Organisation's Postal Address:*
Organisation's Email Address:*

(the email address where you would prefer to receive electronic communication)

Details of Contact People

President / Chairperson

Please Select President or Chairperson
Name:
Phone:
Postal Address:
Email Address:

Secretary

Name:
Phone:
Postal Address:
Email Address:

Treasurer

Name:
Phone:
Postal Address:
Email Address:

Primary Contact Person

Name:*
Phone:*
Email Address:*
Facility Details
Do you hire out any facilities to the Public?

If no, please continue to submit form

If Yes, what facilities do you hire out?
Who is the contact for community members to hire facilities
Name:
Phone:
Email Address:
If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.