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Form
Expressions of Interest - 2024 Better Together Conference
Expressions of Interest - 2024 Better Together Conference
Current
Personal Details
Complete
Name
First Name
Last Name
Email
Contact Number
Address
Township
Do you identify as?
Female
Male
Non-binary
Self-described
Why would you like to attend the 2024 Better Together Conference?
Privacy Statement
Personal information collected on this form shall be used by Council’s Community Wellbeing team for the purpose of selecting a winner for two free tickets to the 2024 Better Together Conference in Geelong. Council may disclose your information to other internal departments but will not disclose your information to any external party without your consent, unless required to do so by law. Golden Plains Shire Council is committed to protecting all personal and sensitive information consistent with the Information Privacy & Health principles set out in the Privacy and Data Protection Act 2014 and the Health Records Act 2001. You have the right to access your personal information and make any necessary corrections. If you have any queries or wish to gain access to amend your information please contact Golden Plains Shire’s Privacy Officer on (03) 5220 7111 or
[email protected]
.