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* 1. Which of the following best describes your household?

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* 2. What is your postcode?

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* 3. How do you or members of your household usually dispose of the following household wastes?

  Put in kerbside  bin Store at home Dump at Council Tip Drop off at  ‘Community Recycling Centre’  Put out at Kerbside Clean up Don’t have this waste Other
Household batteries
Car batteries
Fluoro light bulbs
Household or motor oil
Gas bottles
Paints
Smoke alarms
Pool or garden chemicals

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* 4. How many times have you visited a Community Recycling Centre (CRC) in the past 12 months?

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* 5. How convenient is it for you to visit your local CRC?

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* 6. How did you find out about your local CRC (choose all that apply)?

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* 7. What did you do differently as a result of finding out about the CRC (choose all that apply)?

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* 8. Please provide any additional comments about your local CRC

Thank you!

To enter the CRC prize draw to win 1 of 3 $100 local DIY store vouchers
fill out the details below.


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* 9. To be eligible you must reside in one of the following Council areas:

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* 10. First Name: 

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* 11. Last name:

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* 12. E-mail: 

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* 13. Phone number:

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