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Your Name *
Your Position *
Organisation Name *
Address *
Postal Address (if different to above)
Volunteer Coordinator/Manager
E-mail address *
Telephone
Mobile
Facsimile
Services Provided - Please provide a brief description of agencies major activity’s and services.
Service Delivery Category Please Select Arts Children and Youth Disability Services Education Sport Environment/Conservation Multicultural Recreation Seniors Services to Community Human Rights/International Health Other
If Other (Please state)
Status of Agency Incorporated as Not for Profit Not Incorporated Government Agency Other
Other (Please state)
Insurances (tick if currently held) Public Liability Volunteer Accident Professional Indemnity
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In summary, the following services of Busselton Dunsborough Volunteers Centre are available to member agencies:
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