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Polio Roll Call
If you have any queries relating to the 'Polio Roll Call' please contact: Polio Network Victoria Freecall 1800805384 |
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I would like to be included in the Polio Roll Call.
Name when I contracted polio: ..................................................................................................... Year I contracted polio: ................................. Age when I contracted polio: .................... Where I contracted polio: Town/suburb: ...................................................... State/Country: ..................................................... Name now (if different to above): ............................................................................................... |
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Copyright © 2003 Post Polio Network -Tasmania Last modified: 27th December, 2006 |