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* 1. Company/ Organisation name:

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* 2. Contact Details:

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* 3. How many people from your organisation would like to participate? (approximate number)

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* 4. What time of year would you like to attend an event?

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* 5. What activities are you interested in participating in?

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* 6. Is this the first time your or your organisation will volunteer with Landcare Australia?

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* 7. Would you be interested in participating in an event with volunteers from other organisations?

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