The Wigan & Leigh Disability Forum

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	Members Area

You can join the forum either by filling in your details below or you can download the membership form to fill in and send to us at the address at the bottom of this page.

Personal Details
Name
Organisation
Street
Town
County
Postcode
Home telephone
Mobile
email address

Additional requirements
Do you require any of the following:
Accessible transport to meetings
Standard transport to meetings
Information in a different format :
Braille
Larger Print
Tape
Is there any other support we can provide to enable you to attend meetings and other events e.g signer


What areas/issues are you interested in (please tick)
Community safety	Health & Social Care Services
Culture/Leisure/Sport	Housing
Environment/Access	The Economy
Education	Children, young people & their families
Employment/Training	Transport
Heritage	Arts
Other (please state)

Personal Details

Additional requirements

What areas/issues are you interested in (please tick)