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* 1. Promo code

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* 2. Name

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* 3. Phone number

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* 4. Email address

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* 5. Are you able to use a gas or electric BBQ during the fire danger season?

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* 6. What is your nearest Bushfire Safer Place that you could use during the Fire Danger Season?

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* 7. We recommend that you have an emergency kit for what types of hazards?

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* 8. What is the Bushfire Information Hotline number?

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* 9. Do you have a Bushfire Survival Plan that is suitable to your circumstance?

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* 10. What Fire Ban District do you live in?

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