Conducting elections throughout Australia since 1974

SAMPLE 60s & 70s MUSIC SURVEY

Please fill in your details below then click on the submit button

This information is only used to check that you are eligible to vote and
that you have not already voted in this survey. The way you vote remains secret.
This information is kept confidential and will be destroyed after the completion of the survey.

	Surname (For this demo enter voter )
	Staff Number (For this demo enter 1 )