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Fireproof Storage Request
To claim your free Fireproof bag or box, please complete the following request. Distribution of bags is subject to availability.
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Email
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Your email
Name
*
Your answer
Street Address
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Your answer
Suburb
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Post Code
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Your answer
Phone Number
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Your answer
Age
0 - 18
19-30
31-40
41-50
51-67
67 +
Other:
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Do you live in a high risk bushfire area?
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Yes
No
Was you directly impacted by the 2019-2020 Bushfires?
Yes
No
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