United We Stream Australia Expression of Interest

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* 1. Please enter your full name

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* 2. Please enter the name of the artist, club, collective, promoter or venue completing this expression of interest (business name)

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* 3. Please enter your email address

Email Address

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* 4. Please enter your phone number

Phone Number

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* 5. Please enter the name of the club, venue or location where you'd host your streamed event from

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* 6. Please enter the suburb of this club, venue or location

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* 7. Please enter the state of this club, venue or location

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* 8. What is the performance format of the event you'd like to stream?

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* 9. Please enter the example of the artist lineup

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* 10. Does your lineup include Aboriginal Torres Strait Islander artists?

YES

NO

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* 11. Does your lineup include POC?

YES

NO

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* 12. Does your lineup feature artists who are:

LQBTQIA+

MIXED

NEITHER