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1. My feedback relates to the following (Required.)

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2. Please describe in detail the issue that you wish to bring to our attention. Include (Date / Time / Venue / Teams & or people involved) (Required.)

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3. What action would you like the Sharks Basketball Club to take?

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4. Was the issue brought to the attention of a Basketball Geelong representative? (Required.)

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5. To enable us to advise you of the outcome, please supply your contact details. (Optional)

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