The information contained in this form may be used to publicise Health Fund PLUS. Please make sure you have the permission of anyone quoted or included in photographs.
We collect personal information from you, including your name and contact information.
We collect your personal information in case we need to contact you to discuss your responses.
All information provided will be kept safe by storing in encrypted files and will be accessed only by authorised staff members.
You have the right to ask for a copy of any personal information we hold about you, and ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your information, or want to have it corrected, please contact us at firstname.lastname@example.org, on 021 558224, or by post to Northland Community Foundation, PO Box 10011, Te Mai, Whangarei 0143.