Details of Taxi Licence Owners Engagement with their Local MP

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* 1. Please provide your contact information below

Full Name

A Plate Number You Own

Email Address

Phone Number

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* 2. Please provide details of your Local NSW State Member of Parliament (MP) that you have contacted

Full Name of the Local MP

Local MP's Electorate

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* 3. Please let us know the date you contacted your Local MP and also the date you have scheduled to meet with your Local MP

Date of Contacting your Local MP

Date

Date of Visiting your Local MP

Date

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* 4. How have you contacted your Local MP? (You may choose more than one answer)

Email

Letter

Visit to the Office

Other (please specify)