Contact Information
Name of Organisation or Individual(*)
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Website
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Address(*)
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City / Town(*)
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Contact person(*)
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Post Code
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Phone(*)
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Email(*)
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Membership category(*)
Service provider funded by fees or non-government organisations Organisation that does not deliver child and family services Individual
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Brief description of services provided, or area of work(*)
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Do you have any government contracts?(*)
Yes No
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If yes, please specify
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Annual Budget of Organisation(*)
Under $250,000: Fee $55.00 $250,000 - $1,000,000: Fee $85.00 $1,000,001 - $10,000,000: Fee $135 Over $10,000,000: Fee $155.00 Individual fee: $50
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Do you require a tax invoice?(*)
Yes No
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If you do not require an invoice, please direct credit your fee to Social Service Providers Aotearoa Inc. - ASB 12-3109-0157427-00
Do you require a receipt?
Yes No
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