Order Climate Action NOW corflute signs

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Please fill this out for any 'Climate Action NOW' signs to be put up in/around the Reid electorate.
Signs will be distributed by Climate Action Burwood / Canada Bay, and associate groups.

Name *

Phone# *

Your phone number, so we can coordinate pickup or delivery

Quantity *

How many corflutes do you want

Where are you hoping to "place" the corflutes *

For private homes, please just list the general area (eg. Drummoyne, South Strathfield ). If you plan to canvass shops / businesses, please let us know the main street/s or areas so we can avoid any doubling up.

Private home (s)

I plan to ask shops / businesses etc. in a particular area (please list under Other.)

Other:

Required

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