Arthritis New Zealand Advocacy Registration Form
Would you like to become more closely involved with Arthritis New Zealand? Then register to become an advocate by completing the below form.
Address including postcode
Telephone (incl. area code)
Electorate area (if known)
Pakeha (White European)
Would you be willing to speak to the media about your experience with Arthritis?
What's your area of interest for advocacy?
(tick all that apply)
Minimising barriers to participation in the paid workforce
Promoting the importance of arthritis becoming a government health priority
Developing accessible packaging
Liaising with your MP
Providing consumer feedback
Improving access to rheumatology services.
Access to medications
Please tell us about yourself, how Arthritis has impacted your life and what you would like to achieve as an Arthritis advocate.
1-2 paragraphs maximum
Do you give us permission to add you to our mailing list?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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