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PRIVACY STATEMENT – the data you provide on this form is held securely by Impact Data for 28 days after collection, per government guidelines, then destroyed. During this time your data may be provided to government authorised bodies for COVID-19 case contact tracing if requested.

If you choose to tick the box marked "SUPPORT US - RECEIVE OFFERS & NEWS" you give your consent to the business using this form to retain your contact information in order to provide you with information and promotional material.

For more information you can talk to the business using this form, visit www.impactdata.com.au or visitsafe.at