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Enter the draw to win a Rainwater Tank or a 5 star WELS rated Electrolux Washing Machine. Simply enter your details using our online form. The draw closes 11 December 2009.
1.
I would like to enter the draw to win a:
*
Entrants must choose between prizes and only one entry per household.
Rainwater tank system
Water efficient washing machine
2.
First Name:
*
3.
Last Name:
*
4.
Residential address:
*
5.
Contact telephone number:
*
6.
Email:
7.
Are you a:
Home owner
Renter
8.
Do you live in a:
Detached house
Multiple unit dwelling
9.
How did you find out about this competition?
*
Flyer in the rates notice
Flyer at Sustainability Lane
Sustainability e-newsletter
The Village Observer
North Shore Times
Other, please specify
10.
I would like to subscribe to the Lane Cove Council sustainability e-newsletter to find out about future programs and competitions.
*
-- Please Select --
Yes
No
11.
I have read the full list of Terms and Conditions as contained at www.lanecove.nsw.gov.au/ourenvironment
*
-- Please Select --
Yes
No