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About Contact List
Note: This function was disabled on 1/4/09 and remains on the site as model only.
Union Solidarity sms/email list
Supporter Number
Name:
First name
Last name
Address
No & Street
Suburb
State
Victoria
NSW
WA
SA
QLD
TAS
ACT
NT
Post code
Region
= Please Select =
Melbourne Outer-West
Melbourne Inner-West
Melbourne Outer-North
Melbourne Inner-North
Melbourne Inner-City
Melbourne Outer-East
Melbourne Inner-East
Melbourne Outer-South
Melbourne Inner-South
Geelong and surrounds
Portland and surrounds
Victoria - Gippsland
Victoria - Hume
Victoria - Loddon Mallee
Victoria - Grampians
Victoria - Barwon/Southwest
Perth
Sydney
Adelaid
Brisbane
not listed
not sure:
see map
Phone
just num eg 039991111
Land line
no spaces eg 0499111222
Mobile
Email
Union, Community, Sporting Club
Why? This helps us organise our resources.
I can assist Union Solidarity by:
Yes
No
Becoming part of the SMS response list
#Attending actions in my local area
Any time
12am-8am
8am-12pm
12pm-6pm
6pm-12am
I can't attend
Not sure
I could get involved or have skills in one of the following
Fundraising
Communications
Logistical support
Letter writing
Entertainment
Printing & copying
Writing for website
none
Other skills:
|
= required fields
#You will only be contacted for the time you nominate. If wish to be alerted to all actions select "Any time".
Victoria Regions Map
