Local Land Services Ballot

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* 1. Member Details

First Name:

Surname:

Home Post Address:

Phone Number/s:

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* 2. Work Details:

Division:

Location:

Classification:

Job Title:

Phone Number/s:

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* 3. Do you endorse the proposed Local Land Services Award

Yes

No

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* 4. Do you endorse the proposed Local Land Services - Flexible Work Hours Agreement

Yes

No

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* 5. Is there anything you want to tell us?