NDIS Social Activities Expressions of Interest Port Macquarie Please complete the form below and one of our friendly team members will be in touch. Client Details * First Name Last Name Date of Birth * Country of Birth * Phone (###) ### #### Email * Residential Address * What NDIS Social Activities are you interested in? Walking & Picnic Strawberry picking Gallery & Coffee Referrer Details (if not the client) First Name Last Name Role Phone (###) ### #### Email Thank you for registering your interest in our NDIS Social Activities. Our friendly team will be in touch with you as soon as possible.