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Cafe Name
*
ABN
*
E-mail
*
Mobile Number
*
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Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Name
First Name
Last Name
Years in operation
*
Coffee (kgs) sold p/w pre-covid:
*
Coffee (kgs) sold p/w currently
*
Why your Cafe deserves the grant
*
Do you qualify for job keeper?
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Please verify that you are a coffee lover
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