Letters sent by Neighbourhood Houses

Once you have sent out your letters, please complete the following form so we can keep track of how many letters have gone out and who they have gone to.

Thank you.

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* 1. Name

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* 2. Organisation

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* 3. Postcode of Organisation

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* 4. Position

Manager/Coordinator

Team Leader

Staff Member

Committee Member

Volunteer

Other (please specify)

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* 5. Email address

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* 6. Did you send the letter to your Lower House MP?

Yes

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* 7. Did you send the letter to all 5 of your Upper House MPs?

Yes

Some but not all. Please specify who if so:

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* 8. Did you send the letter to anyone else (for example, opposition candidates)?

Yes. If so, please specify:

Thank you for taking the time to support this State Election advocacy initiative.

Please click 'Done' below to successfully submit this form.