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Home / Card game request form

Card game request form

What's your role*

Community Provider

Ordering on behalf of

Your details

First name*

Last name*

Job Title*

Organisation*

Email address*

Phone number

Your community service provider details

First name*

Last name*

Job Title*

Organisation*

Delivery address*

Suburb*

City*

Region*

Post code*

Phone number*

Email address*

Website*

Request details

Drive Road Code card game*

Drive True or False card game*

Drive Road Signs card game*

Briefly describe your driver licensing course or programme*

Who attends your course?

Young Drivers/Rangatahi (16 - 24)

Refugees/Migrants

Referals from Police

Adults (25+)

Other

Other (specify)

Who attends your course is required.

Of these, what percent would be between 16-24 years old?*

0%

10%

25%

33%

50%

66%

75%+

How many courses do you run each year?*

0 - 9

10 - 19

20+

On average, how many people attend each course?*

0 - 9

10 - 19

20+

How did you hear about Drive Community?*

ACC Injury Prevention Partner

Social Media

Police

Attended a hui

I was told about it

Road safety coordinator

Other

Please specify

How will the Drive resources help you deliver driver licensing programmes in your community?*

Any other comments or questions?

One last thing:

Yes, I agree to the terms and conditions*

Yes, I would be happy for Drive Community to contact me to find out how useful I find these resources

View terms and conditions

Order summary

Drive Road Code card game 0
Drive True or False card game 0
Drive Road Signs card game 0

Total: 0

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