JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Loddon Plains Landcare Network Buy 1 – Get 1 FREE Rabbit Baits
Orders to be provided by February 17th 2020
Bait Collection will be the week of Monday 24th February at a central location, date to be confirmed.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Do you live in the Kerang area?
*
Yes
No
Name
*
Your answer
Address
*
Your answer
Best contact number
*
Your answer
How did you find out about this program?
*
Flyer
Landcare group
Agency - PV, NCCMA, DELWP etc.
Social media
Word of mouth
Chemical Users course
Other:
Required
I am a member of my local Landcare group
*
Yes
No
Maybe
Name of your local Landcare group, or nearest group if you are not a member
*
Your answer
Please Note:
As a requirement for this program If you are not part of a Landcare Group and would like to take part in the program your details will be passed to your local group.
I have an ACUP with 1080 increment (for 1080 products only)
Yes
No
Clear selection
ACUP no. - as per the top right corner of your card
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms