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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

Vehicle Type (eg: Silver Chrysler)

Phone

Date

Time

17:04

I am not experiencing the symptoms: fever, cough, sore throat

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Contact

4/16 Energy Cres.

Molendinar, Gold Coast

QLD. 4214

Tel: +0414 472 001

info@aolimo.com.au

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