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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the address where you currently live?

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* 4. At what email address would you like to be contacted?

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* 5. What is your best contact number?

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* 6. Do you support our petition to the Legislative Assembly
of the Northern Territory that Politicians should act like grown-ups and, if possible, behave online as we’d want our children to?

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