register for SPecial rates at flaxmill

To gain access to reduced rates at Flaxmill under our Not For Profit programme, please make an application to register and agree to the Terms and Conditions noted at the bottom of this form.

PLEASE NOTE: This programme is not available to the general public. It is only available to organisations and individuals who are working to support others through charitable, community-focussed or not for profit initiatives.

If you have already registered with us (and been approved), please visit the Flaxmill website to Make A Booking Request

Fields marked* are required.

Your Name (as applicant):

Your Phone:

Your Email Address:

How did you hear about us?

Big Toe Foundation Ambassador

I am registering as an: Individual Group/Organisation/Charity/Church

Please provide some details of your current work.

Name of Employer/contract holder/other volunteering workplace:

Contact person within this Organisation:

Phone:

Email:

Website:

Tell us more about yourself, what motivates you, and what change you want to see in your community.

In what way do you think you could benefit from using Flaxmill?

Please provide some further details.

Group/Organisation/Charity/Church Name:

Registered NZ charity number (if applicable):

Postal address:

Website:

Your role in Organisation/Charity/Group:

Tell us about your group's mission statement and what you are striving for.

In what way(s) do you see your group utilising Flaxmill?

Will you be the Authorised Contact for all booking requests? Yes No

Please provide the contact details of the Authorised Contact person below. All booking requests at Flaxmill will need to come through this person:

Authorised Contact Name:

Email:

Phone:

Please provide Referee Contact details of someone who is familiar with, but independent of your group, to help our Trustees in evaluating your application.

Name:

Organisation:

Phone:

Email:

Do you have any other questions or comments?

Just checking you are a real person... What is 1+2?

I agree with the terms and conditions