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Online Form - Spoilbank Community Reference Group - Expression of Interest Form

Please note that community members who are members of organisations already represented on the SCRG are ineligible for membership. Please refer to the Terms of Reference for membership organisations.

Details

First Name*

Surname*

Residential Address*

Email Address*

Contact Number*

Please outline (in 300 words or less) why you would like to be a participant on the Spoilbank Community Reference Group?*