Please number (from 1 to 4) the four issues that concern you most. Reducing Australia's debt Tackling local crime in our community Securing Australia's borders Fixing our local hospitals Creating local jobs Stopping the Carbon Tax A new tax on the mining sector Improving local roads & Infrastracture Backing Small Business Reducing cost of living pressures Protecting the local environment Establishment of a Tropical Campus of the Australian Institute of Sport Establishing a National Insitute of Tropical Health and Medicine If you could fix one problem in our local area, what would it be? Plese select one of the following options: I ALWAYS support the following at elections: Liberal NationalLaborThe GreensFamily FirstIndependent/Other OR I USUALLY support the following at elections: Liberal NationalLaborThe GreensFamily FirstIndependent/Other OR I don't really support any political party Please complete the following details so that I can get in touch with you. Title Name Address Home Phone Mobile Phone Fax Email Security Code