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Registration
Let your actions speak louder than words
Name:
Address:
Home Phone:
Email:
Do you belong to an Eaglehawk organisation?
Yes
No
Name:
As a supporter of Empowering Eaglehawk, I agree to Bendigo Bank providing Empowering Eaglehawk with my contact details
Prefered means of contact:
Telephone
Email
Best time to reach me:
Morning
Afternoon
Evening
1. Banking
Do you currently bank with the Bendigo Bank?
Yes
No
Would you like your account linked to the Empowering Eaglehawk Project?
Yes
No
I would consider transferring banking business to Bendigo Bank.
Yes
No
2. Telephone, Mobile and Internet
Do you currently use Bendigo Community Telco?
Yes
No
Would you like your service linked to Empowering Eaglehawk project?
Yes
No
I would consider transferring phone, mobile or internet services to Bendigo Community Telco.
Yes
No
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How to Pledge
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Contact Us
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Constitution
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Our Purpose
Empowering Eaglehawk Inc. ABN 77 537 667 948