Optimise Consumer Advisory Group Application

Consumer Advisory Group

Application

First Name

Last Name

Contact Number

Age (in years)

Email Address

Address

Street address

City

State

Postcode

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 on either Monday or Tuesday from 4pm (till 6pm at the latest)

Are you able to committee to attending most Consumer Advisory Group meetings?

Any other comments?