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Want to your region mapped
This form relates to RPA national mapping project, which aims to collect and track regional, rural and remote community LGTBQIA+ inclusion and community safety. If you would like to be INVOLVED and have your say, please feel out the form below and we would reach out.
First Name*
Last Name*
Email*
Phone*
What community or region are you coming from?*
Would you like your community or location to be mapped?*
Select one...
Yes
No
I have Limited travel ability
Only through public transport
How do you feel about your community or region’s current LGTBQI+ inclusion?*
Have your say about your community or region
Any other details you would like to tell us
Thank you! Your submission has been received!
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