Transition Expo Spot Prize Draw
Sign up to receive Disability Connect emails and go into the draw to win some fabulous prizes. If you are receiving mail from Disability Connect you will still need to complete this form to be eligible. Only one sign up per family please.
Name
First Name
Last Name
Gender
Please Select
Male
Female
N/A
Email Address
Please Select All That Apply
I work for an organisation assisting people with disabilities.
I have a disability.
I am a carer for disabled family members
I am a parent of children with disabilities
None of the above
I am already receiving Disability Connect emails
Yes I receive Disability Connect emails
No I do not currently receive Disability Connect emails
I'm not sure if I am receiving Disability Connect email
Mobile Number - we will text or call you if you win
-
Area Code
Phone Number
Additional Comments
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