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COVIDSafe Visitor Contact Logbook
10-14 Pier Street, Perth WA 6000
Form prepared by David Broadway
This form is for COVID-19 contact tracking. It is a government requirement to help assist the tracking of COVID-19 outbreaks in Western Australia.
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Full Name
*
Your answer
Mobile
*
Your answer
I am visiting:
*
Studio Building A
Studio Building B
Studio Building C
Other:
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