Please provide the following contact information

Name
Title
Position
Organisation
Phone
Email

Address
City
State	Please choose QLD NSW ACT VIC TAS SA WA NT N/A
Postcode

 
  Please tick as appropriate:

	My organisation is interested in participating in the development of consumer/family-managed support models in mental health. Name of organisation
	I am a consumer or family member and interested in participating in the development of consumer/family-managed support models in mental health.
	I/we would like a speaker to visit our group or agency to talk about the design and trial of consumer/family-managed support models in mental health.

 Please describe your current situation and your interest in this approach:

 

Social Enterprise Partnerships Ltd                               ABN 47108742098                                   PO Box 159                               Yarraville Vic 3013