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Canteen: Community Service Presentation & Consultation

Thank you for expressing your interest to attend our regional community service presentations. We look forward to presenting in your region and to hearing your input into how our services can support your local community. If you have any questions please contact Cam on 0420 363 179 or at cameron.hope@canteen.org.au. Thank you

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* 1. Name

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* 2. Date of Birth

Date

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* 3. Contact Phone Number

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* 4. Email address

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* 5. Which Presentation are you registering for?

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* 6. Are you attending in person or online?

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* 7. Which statement/s best suit you?

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* 8. If you are registering as/for a group, please state how many people will be attending & their ages. If you are not a group please type N/A

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