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Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Do you have any connection with Type 1 Diabetes?
No
Yes
Not Sure
What transport would you use on the night to attend the Gala?
Drive myself or Car pool
Taxi - Chauffeur - UBER
Only if a shared coach bus was arranged from the city
Other
If return transport was available, would you use this service?
Yes - if the price was between $25 - $30 per person
Yes - But would like it included in the the ticket price
No - i prefer to get myself there
Would you plan on staying overnight in McLaren Vale and require accommodation options?
Yes
No
Maybe
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