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* 1. Contact details

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* 2. MLA may contact me to further assess the impact of their program?

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* 3. MLA and Macquarie Franklin may send me newsletters and inform me of future events?

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* 4. Have you previously participated in any other PGS supported learning programs (e.g. Pasture Principles)?

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* 5. Business details

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* 6. How did you hear about Lifting Lamb Survival (please tick the one response that most applies to you)?

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* 7. What was it that made you decide to sign up to be a part of Lifting Lamb Survival (please tick the one response that most applies to you)?

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* 8. Pleae provide the contact details for all additional members of your business who will be participting (initial cost includes two business members and any additional members will be a cost of $200pp)

Privacy Statement:
The information you are providing in this form may be personal information under the Privacy Act. Such personal information is collected for the business purposes of MLA and Macquarie Franklin and will not be disclosed to anyone else except as notified here, in accordance with the privacy policies of these organisations or where your consent has been obtained. MLA’s privacy policy can be obtained directly from MLA by calling 1800 675 717, or from their website at www.mla.com.au. By providing your personal information, you consent to MLA and Macquarie Franklin collecting, holding, using and disclosing that information in the manner specified in this form and as otherwise specified in the privacy policies of these organisations. If you do not provide such personal information, MLA or Macquarie Franklin may not be able to provide you with products or services or keep you informed about market news, industry information and other communications from them. You can request access to and correction of your personal information by calling MLA on 1800 675 717 or 02 6332 2135 or Macquarie Franklin on 6427 5300.

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