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ASP Vic Outreach event

Please fill in this form if you are planning to attend the ASP VIC social event, Thursday 11th March 4:00-6pm, at the Botanical Hotel from 4pm (please note it is now not in the Gardens): the address is 169 Domain Road, South Yarra, 3141. We will keep your data for 28 days after the event as per the Victorian COVID safety guidelines.
1.First name
2.Email address
3.Contact phone number
4.How many people will accompany you who also live at your address?
5.Please enter the names of anyone from your household who will accompany you to this event if they have not already registered.