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* 1. Name

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* 2. Address

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* 4. Phone number

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* 5. Please tell us about your Keep Cash t-shirt or sticker photo in 50 words or less.

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* 6. Upload your photo here

PNG, JPG, JPEG, GIF file types only.
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* 7. Disclaimer: I agree that the image and information provided may be displayed on National Seniors Australia’s website and social media platforms for the purpose of the ‘Keep Cash’ campaign. National Seniors Australia’s photo consent policy can be found here.

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