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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. Town/City

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* 5. Postcode

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* 6. State/Territory

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* 7. Phone number

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* 8. Email address

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* 9. I am interested in hosting a

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* 10. Breed (or breeds)

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* 11. My livestock enterprise is a

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* 12. How did you hear about BredWell FedWell?

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* 13. We aim to allocate a local deliverer for the workshop but will consider your preferences. Do you have a deliverer and/or supporting organisation in mind?

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* 14. Are you willing to be contacted by MLA or MLA's Service Providers in relation to other MLA-supported learning opportunities?

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* 15. Comments

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