Thank you for signing up to join LBG for Community in 2018

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* 1. Organisation name

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* 2. Website

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* 3. Which category does your organisation fit into?

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* 4. Name of person completing this registration:

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* 5. I hereby confirm that my organisation seeks to become an 'LBG certified community partner' as endorsed by my CEO, and agrees to pay $3,000 plus GST to participate. 

If your corporate partner is sponsoring your participation please click 'agree' and indicate your sponsoring company's name in the next question

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* 6. If your corporate partner is sponsoring your participation, please provide the company's name

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* 7. Who should we send the invoice to? Please provide name and email if not already provided above

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* 8. For the purposes of invoicing, please provide the relevant business address.

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* 9. LBG for Community Participant 1's  details

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* 10. LBG for Community Participant 2's details

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* 11. LBG for Community Participant 3's details

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