Elect Mark Neugebauer in Mayo

STREET REP FOR FREEDOM

Count me in. Street Reps are the core of a successful campaign.

PRE-POLL VOTING

Pre-poll votes are vitally important, and you can make a great contribution to success for Mark Neugebauer and the Australian Federation Party Senate Candidates by helping for a morning or afternoon at a PPVC.

Please click one of the three options below

YOUR PRE-POLL VOTING CENTRE (PPVC)

(Votes in the 2019 election in brackets)

Venues dates and times subject to confirmation

Choose the PPVC most convenient for you

PLEASE INDICATE THE DAYS (MORNING SHIFT OR AFTERNOON) WHEN YOU EXPECT TO HELP AT YOUR CHOSEN PPVC

If you cannot stay for the whole session, that is fine. Dates and times will be confirmed when the election is called

Please select as many shifts as you can manage. Unless otherwise advised, morning is 8am to 1pm, afternoon is 1pm to 6pm.

PLEASE PROVIDE YOUR CONTACT DETAILS

Given Name(s)

required

Surname

required

Mobile number

If no mobile, landline is fine

Email

example@example.com Your email address and all your details will be kept confidential

You can help the campaign wtihout being on the electoral roll. Please enter your roll address, or if not on the electoral roll, your residential address

PropertyName

If applicable

UnitNumber

If applicable

StreetNumber

Or Lot Number or Rural Mail Box (RMB) &c

StreetName

Include "St", "Ave", "Cres", "Rd", "Cl", "Lane" &c

Location

Subutb or City

Postcode

Are you able to help on Polling Day?

MY POLLING BOOTH

The polling booth where I normally vote or which is closest to where I live. (Total votes in 2019 Election are shown in brackets)

SHARED means that the booth is also operating for an adjacent electorate and our team will cooperate with the team for that electorate.

Select only ONE polling booth

POLLING DAY

Time(s) on Polling Day when I will help at the nominated polling booth.

Choose your time slots

Thank you {givenNames} {surname}

PLEASE CONTINUE

ALL YOUR INFORMATION IS CONFIDENTIAL

mayo@ausfedparty.com.au

phone: 0420 978 504

Important

Street Reps' Information

The description which best fits the location of my residence is

Please fill in the blanks

A. My residence at {typeA272} {typeA274} {typeA275} is on the block between the cross streets CrossStreet1 and
crossstreet 2 The number of households on my block is at most
HouseholdsOnBlock

B. My residence at {typeA272} {typeA274} {typeA275} is in a cul de sac off (name the thoroughfare) OffStreet . The number of households in {typeA274} is at most
HouseholdsInStreet

C. My residence at {typeA272} {typeA274} {typeA275} is in a high-rise apartment block (more than six units), named BuildingName. The number of apartments in my apartment building is
NumberApartments

D. My residence at {typeA272} {typeA274} {typeA275} is in a Retirement Village, Caravan Park or Gated Community, namedNameOfCommunity. The number of households in my community is at most
NumHouseholdsInCommunity

E. My residence at {typeA270} {typeA274} {typeA275} is in a rural area, the closest town beingClosestTown .
The number of households in my vicinity is at most
HouseholdsNearby

Other ways I would like to help the campaign

Local club(s) or organisation(s) of which I am a member

For service clubs please include meeting day, time and venue

Name of the person who invited me to join the campaign

Optional

Email addresses of up to three persons who would like to know about the campaign

email address #1

optional

email address #2

optional

email address #3

optional

Mr/Mrs/Dr/&c

optional

Degrees and Awards

Optional

Thank you, please hit the WIN GOVERNMENT button

Type a question