Registration of Interest - Manjimup Trail Bike Hub

Manjimup Trail Bike Hub

You can register your interest in the Manjimup Trail Bike Hub by completing this brief questionnaire. 

We will use the information you provide to target our communication  so that any updates you receive will be relevant to you.  By completing this questionnaire, you're demonstrating your interest in the project which will be helpful in our applications for funding to make the Manjimup Trail Bike Hub happen.
1.Your full name (Required.)
2.Email address(Required.)
3.Phone number (mobile or landline including area code if applicable)
4.Which state of Australia do you reside in?(Required.)
5.Which town or suburb do you reside in?(Required.)
6.Your age (Required.)
7.What is your interest in the project? (select all that apply)
8.If you are a rider, or have an interest in riding, which categories of riding are you interested in? (select all that apply)(Required.)
9.If you have a business interest, which category or categories do you fall into? (select all that apply)(Required.)
10.If you are an existing business, what is your business name?
11.Would you be willing to provide a letter of support for this project when it comes time to applying for funding?  (We would provide you with a template)(Required.)
Current Progress,
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