HOME
ABOUT US
- PHOTO GALLERY
- POSITION VACANT
MEMBERSHIP
SERVICES
VOLUNTEERING
DONATIONS
IN-SIGHT
CONTACT US

HOME
ABOUT US
- PHOTO GALLERY
- POSITION VACANT
MEMBERSHIP
SERVICES
VOLUNTEERING
DONATIONS
IN-SIGHT
CONTACT US

Social Centre Activities Term 4 program

October 13, 2016
Members
512

Annual General Meeting on 22nd October 2016

October 5, 2016
Uncategorised
479

Search for:

CHANGE TEXT SIZE

A A A

Beyond Blindness

Beyond Blindness

Recent Posts

Beyond Blindness Magazine -Spring 2020
TREVOR FROST AWARD

Volunteering At Blind Welfare

Donate to Blind Welfare

In-sight Archives

Contact Us

Name*
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I wish to apply for a subsidy for the following item of equipment:
This item will assist me to:
Suppliers name*
Name
Address*
Address City State / Province / Region ZIP / Postal Code
Phone
Email
Enter Email Confirm Email
Professional endorsement*
- I have assessed the needs of the member and recommend that this technology meets BWA subsidy guidelines and I feel is appropriate and that this member has or will gain proficiency in its use and that it will be of benefit to assisting them gain or maintain independence.
Print Name
Position in the Organisation
Member endorsement*
- I have understood the equipment subsidy guidelines and believe this application meets these guidelines. I will be contributing the amount mentioned below and wish to apply for the subsidy
My contribution for the purchase of the equipment
Subsidy amount applied for
Once you submit your form by using the button below you should be presented with a confirmation page. If you are not presented with a confirmation page, there is an error in your form. Errors will be highlighted.
For office use only
Approved by Member Services Officer
Admin Office checked eligibility
Approved by Manager
Date
Date Format: MM slash DD slash YYYY

Follow Us

Facebook
YouTube

2015 - 2020 © Powered by Theme-Vision.