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* 1. Name and contact information - Please provide your name and contact information.

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* 2. Support or oppose - Please indicate your views about the draft policy.

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* 3. Suggested changes or feedback - Please indicate in the appropriate space below, possible changes or feedback on the following topics covered in the draft policy.

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* 4. Other feedback - Please provide any other feedback you may have in the space provided below.

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* 5. Uploads - Please attach any files here. 

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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Consent to receive and store information in electronic form
Use of these service means that you agree to provide information through electronic means. This means you agree to provide any relevant information, documents and attachments in the format and to the standards described for each transaction. It also means you agree and understand that the information will be retained in electronic form.

Security
Online services are provided through a secure website. However, you acknowledge and agree that internet transmissions are never entirely secure or private, and that any information you send to or via the website may be read or intercepted, even where a website is stated as being secure. Southland District Council shall have no liability for the interception or hacking of its website by unauthorised third parties.

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