Area Survey Form

IMMEDIATELY AFTER AREA 2023 AGM please submit this form, together with the Area Annual Report.

PLEASE NOTE: Forms returned after 31st March 2023 may be too late to be included in the 2023-2024 Address Book.

Are you human?
Leave this empty if you are a human. This is to prevent spam.

Name of Area

Area Representative

Address

Postcode

Phone

Chairman

Address

Postcode

Phone

Secretary

Address

Postcode

Phone

Treasurer

Address

Postcode

Phone

Area Website Contact

Phone

No. of Clubs/Groups in Area

No. of Area Meetings per Year

Upload Annual Report

By allowing personal information to be submitted on this Survey Form, it is accepted that these members have voluntarily agreed to act as a point of contact for the Area either in the FASNZ Address Book, the FASNZ Diary, or on the FASNZ Website and Facebook page, in the role as shown above.

If you would like to be sent a copy of this form please enter your details below

Your Name

Your Email

Please check your email address for errors

Error: You have already have an account in our system. If you need to generate a new password you can do this from the login page.

* Please fill out all required fields

Error: Please check the reCAPTCHA

Submit

Sending, please wait.