Optimise Consumer Advisory Group Application

Consumer Advisory Group

Application

First Name

Last Name

Contact Number

Age (in years)

Email Address *

Description of your relationship with Optimise Health and Wellness

What would you like to achieve as part of the Consumer Advisory Group?

Meetings for the Consumer Advisory Group will be held every two months (day and time to be decided after initial meeting)

I will be attending the first meeting at 10am Friday at the Optimise Building

I can't attend many meeting but would like to be part of the group to provide feedback

Any other comments?