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Men’s Shed Spanner Registration Form
Please complete the form electronically in Microsoft Word and email as an
attachment to [email protected] Enquiries to AMSA – 1300 550 009 or [email protected]
‘Spanner in the Works?’ – Registration FormAbout Your ShedName of Shed
Physical address
Postal Address(Inc. Postcode & State)Contact person for this projectContact person phoneContact person email
2nd Contact person2nd Contact person phone2nd Contact person email
About your eventProposed date and time?(agreed with Health Service)
No of Booklets requestedOther information?(Guest speakers etc)
About your Health Service PartnerName of Health ServiceContact nameContact phoneContact emailThe Department of Veterans' Affairs Men’s Health Peer Education programme may be able to assist and support your ‘Spanner in the Works?’ programme with information stands and health talks.If interested, contact the DVA MHPE Coordinator for your State/Territory www.dva.gov.au/mhpe.htm or phone 133 254.
