Details*

Organisation, if you are representing one:

Position in Organisation:

Reason for Meeting*

Preferred Meeting Location*
—Please choose an option—Electorate OfficeOffsiteDigital

*Please note the Member will have final say on location based on diary requirements

Will anyone else be attending?*:
—Please choose an option—YesNo

Any documentation for meeting:

Preferred meeting time:

Such as particular days of the week, particular time etc

*Please note, this is a guide only, as meeting times may have to be determined by the Member