Register your interest form

Please complete the following form to register your interest to join the PVC Recycling Program

Name(*)

Please type your name.

Job Role(*)

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Hospital Name(*)

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Street Address(*)

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Suburb(*)

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Postcode(*)

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State(*)

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Phone(*)

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Email(*)

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How did you hear about PVC Recycling in Hospitals(*)

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What are the main sources of PVC at your hospital

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Other(*)

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Current status of PVC Recycling initiative

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Captcha(*)

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