Housing Film "Our Spaces" Watch Party Request

Please complete this form if you would like to host a watch party for the Our Spaces film.

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* 1. Organisation Name

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* 2. Contact Name

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* 3. Contact number

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* 4. Email address

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* 5. Would you like to request representation from Regional Development Australia Mid North Coast at your watch party?

Yes

No

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* 6. If yes, please provide 3 preferred dates (post October 2022) to hold the watch party so that staff availability can be confirmed.

Preferred Date 1

Date

Preferred Date 2

Date

Preferred Date 3

Date

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* 7. Time

Time

Time

AM/PM

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* 8. Venue

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* 9. Please tell us some more about your Watch Party (e.g. reason for hosting, target audience, expected number of guests, potential outcomes).