Support Sustainable Water Use in Lane Cove Survey

Lane Cove Council Banner, collage depicting the Plaza, River, Pool and Bushland

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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.*

11.	I have read the full list of Terms and Conditions as contained at www.lanecove.nsw.gov.au/ourenvironment*

Done

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