National Strategy Consultation Roadshow - Consumer
Lung Foundation Australia is delighted to be hosting Australia's first National Consultation Roadshow.
Please register your attendance at the Consumer Symposium by completing the details below.
Please provide your Details
Salutation
Please select...
Assoc Prof
Dr.
Master
Miss
Mrs.
Ms.
Prof.
Senator
The Hon
Dame
Sir
Mr
First Name
Last Name
Mobile
Email
State
Please select...
NSW
VIC
ACT
NT
WA
QLD
SA
TAS
Other
Postcode
State: Other
Are you attending as a:
Consumer
Carer/family member
Do you identify as any of these target demographics?
Aboriginal or Torres Straight Islander?
Please select...
Aboriginal and Torres Strait Islander
Aboriginal
Torres Strait Islander
No
Unsure
Prefer not to say
Yes
I live in a rural and remote area.
Yes
No
Event Details
Select the location of the consultation you would wish to attend:
Please select...
Sydney
Melbourne
Brisbane
Canberra
Hobart
Adelaide
Perth
Darwin
Priority Populations (ONLINE)
Do you have any dietary requirements?
Yes
No
Do you have any accessibility requirements?
Yes
No
Please specify your dietary requirements:
DONOR ID
Yes, I confirm I can attend the consultation in-person at my selected location.
I would like to keep up to date with the latest news and information from Lung Foundation Australia.
Contact Information