Keep Cash campaign image upload

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* 1. First name

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* 2. Last name

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* 3. Business name

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* 4. Business website

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* 5. Business address

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* 6. Comments

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* 7. Upload your image

PNG, JPG, JPEG file types only.

Choose File

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* 8. Disclaimer

I agree that the image and information provided may be displayed on National Seniors Australia’s website and social media platforms for the purpose of the ‘Keep Cash’ campaign. National Seniors Australia’s photo consent policy can be found here.