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* 1. The focus group will be held on Monday 16 July 2012 at 30 Helen Street, Teneriffe.

Please indicate the time which suits you best. You are advised to arrive 10 mins before the times indicated for administrative purposes.

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* 2. Please provide contact details:

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* 3. Please describe your race/ethnicity.

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* 4. For your participation, you will receive a gift card to the value of AUD20. Please indicate your preference below:

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* 5. Healthy Communities will provide light refreshments for the participants. Please indicate if you have specific dietary requirements:

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* 6. Do you want information about volunteering at Brisbane Pride Festival's Fair Day on 16 September 2012?

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